Wow Vision Pc

LBN: Wow Vision Pc
Wow Vision Pc is an health care organization with primary practice located at 7451 Woodward Ave Suite 101, Woodridge IL 60517-2665. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wow Vision Pc can be contacted via phone (630) 663-9112, or through Wilmoth, Mark D via phone (630) 663-9112.

Contact Information

Primary practice address
7451 Woodward Ave Suite 101 Woodridge IL 60517-2665
Fax: (630) 663-9228
Website:
Authorized official contact:
Name: Wilmoth, Mark D Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009127 Illinois

Profile Details

NPI number 1104156009
LBN Legal business name Wow Vision Pc
DBA Doing business as
Authorized official Wilmoth, Mark D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2009
Last updated Jan 2nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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