Moushon, Gaylan Wayne
Moushon, Gaylan Wayne is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moushon, Gaylan Wayne can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
1025 S 6Th St
Springfield IL 62703-2403
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 0460088755 | Illinois |
Profile Details
NPI number | 1548395049 |
---|---|
LBN Legal business name | Moushon, Gaylan Wayne |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | May 21st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548395049 | NPPES |
Illinois | Other | K51088 | MEDICARE PTAN |
Popular Providers
-
Sabetti, Joseph
2020 W Iles Ave , Springfield IL 62704-4174 -
Blumthal, Robert James
2020 W Iles Ave , Springfield IL 62704-4174 -
Wilkison, Thomas A
2765 S Veterans Pkwy , Springfield IL 62704-6402 -
Blomberg, Scott
121 N Grand Ave W , Springfield IL 62702-2562 -
Edwards, Robert P
3055 Wabash Ave , Springfield IL 62704 -
Zajicek, Richard Mark
3141 S Veterans Pkwy , Springfield IL 62704-6565 -
Atkins, Brian Douglas
2765 S Veterans Pkwy , Springfield IL 62704-6402 -
Walsh, James Patrick
2300 W White Oaks Dr Sam'S Club Optical, Springfield IL 62704-6423