DR. WILSON W. MOVIC (NPI# 1194730648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194730648 |
| Entity Type | Individual |
| Full Name | DR. WILSON W. MOVIC |
| Credential | O.D. |
| Practice Address |
2103 E Washington St Bloomington IL 61701-4310 |
| Practice Telephone | 3096622277 |
| Practice Fax Number | 3096636472 |
| Mailing Telephone | 3096622277 |
| Mailing Fax Number | 3096636472 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-007251 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0005784008 | 01 |
| IL | 046007251 | 05 |
| Street Address |
2103 E WASHINGTON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468344 | Rex Dale Moore | Dentist | 2103 E Washington St, Ste 3e, Bloomington, IL 61701-4310 | 2005-09-27 |
| 1508315219 | Brittany Malak | Marriage & Family Therapist | 2103 E Washington St, Suite 2g, Bloomington, IL 61701-4310 | 2016-09-23 |
| 1457780082 | Darci Newton | Counselor | 2103 E Washington St, Ste 3e, Bloomington, IL 61701-4365 | 2013-11-04 |
| 1750633566 | Emil M. Verban | Dentist | 2103 E Washington St, Suite 1c, Bloomington, IL 61701-4310 | 2012-10-04 |
| 1417216870 | Mclean County Dental | Dentist | 2103 E Washington St, Suite 1c, Bloomington, IL 61701-4310 | 2012-05-04 |
| 1386810869 | Frank W. Foehr Dds, Ltd | Dentist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2008-05-05 |
| 1013069913 | Michael Allen Pauley | Dentist | 2103 E Washington St, Suite 3, Bloomington, IL 61701-4310 | 2007-01-18 |
| 1366539744 | Anthony Pecora Pecora | Dentist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2006-10-06 |
| 1245334978 | Emil M Verban Jr. | Dentist | 2103 E Washington St, Bloomington, IL 61701 | 2006-09-12 |
| 1720004070 | William K. Vanderwaal | Dentist | 2103 E Washington St, Bloomington, IL 61701-4310 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1760610265 | Denver Joseph Mcdaniel | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2009-06-24 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.