Wilson, David Mel
Wilson, David Mel is an sole proprietor health care provider with primary practice located at 4801 W Bethel Ave , Muncie IN 47304. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, David Mel can be contacted via phone (765) 288-7744.Contact Information
Primary practice address
4801 W Bethel Ave
Muncie IN 47304
Phone: (765) 288-7744
Fax: (765) 282-0741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001693B | Indiana |
Profile Details
| NPI number | 1952399859 |
|---|---|
| LBN Legal business name | Wilson, David Mel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 16th, 2012 - about 12 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 | 1952399859 | NPPES |
| Indiana | MEDICAID | 100153280A | |
| Indiana | Other | 0183090001 |
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