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
Fax: (765) 282-0741
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952399859 NPPES
Indiana MEDICAID 100153280A
Indiana Other 0183090001

Popular Providers