Active NPI
Megan V Mosley, OD
- Optometrist
- Bloomington, IL
National Provider Identifier
1073848511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010243
- Practice address
- 101 N Veterans Pkwy
Bloomington, IL 61704-3596 - Phone
- (309) 663-2700
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.010243 | IL | Primary |
Addresses
Primary practice location
101 N Veterans Pkwy
Bloomington, IL 61704-3596
Mailing address
101 N Veterans Pkwy
Bloomington, IL 61704-3596
Phone (309) 663-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010243 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Eye Care LLC | Optometrist | Current | Accepting new patients |
| Wildwood Eye Care LLC | Optometrist | Current | Accepting new patients |
| Oneopto Il 2 PLLC | Optometrist | Past | Accepting new patients |
| Vep Il Optometric LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Optometrist
- Bloomington, IL
- NPI 1003788431
-
- Optometrist
- Bloomington, IL
- NPI 1528536620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1073848511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N VETERANS PKWY",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043596",
"telephone_number": "309-663-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N VETERANS PKWY",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043596",
"telephone_number": "309-663-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "MEGAN",
"middle_name": "V",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.010243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.