Movic, Wilson W.

Movic, Wilson W. is an individual health care provider with primary practice located at 2103 E Washington St , Bloomington IL 61701-4310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Movic, Wilson W. can be contacted via phone (309) 662-2277.

Contact Information

Primary practice address
2103 E Washington St Bloomington IL 61701-4310
Phone: (309) 662-2277
Fax: (309) 663-6472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-007251 Illinois

Profile Details

NPI number 1194730648
LBN Legal business name Movic, Wilson W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 11th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194730648 NPPES
Illinois MEDICAID 046007251
Illinois Other 0005784008

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