Provider Demographics
NPI:1679301261
Name:WOOD, MICHAEL HUNTER (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HUNTER
Last Name:WOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 S LITTLER AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3823
Mailing Address - Country:US
Mailing Address - Phone:405-341-3567
Mailing Address - Fax:405-359-2000
Practice Address - Street 1:318 S LITTLER AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3823
Practice Address - Country:US
Practice Address - Phone:405-341-3567
Practice Address - Fax:405-359-2000
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3284152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty