Active NPI
Wilson W. Movic, O.D.
- Optometrist
- Bloomington, IL
National Provider Identifier
1194730648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007251
- Practice address
- 2103 E Washington St
Bloomington, IL 61701-4310 - Phone
- (309) 662-2277
- Fax
- (309) 663-6472
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- 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 | 046-007251 | IL | Primary |
Addresses
Primary practice location
2103 E Washington St
Bloomington, IL 61701-4310
Mailing address
2103 E Washington St
Bloomington, IL 61701-4310
Phone (309) 662-2277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046007251 | Medicaid | IL | |
| 0005784008 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.11 of 100
- Quality
- 97.66
- Improvement activities
- 40
- Cost
- 73.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007251 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionpoint Eye Center LLC | Optometrist | Current | Accepting new patients |
Locations
1107 Airport Rd
Bloomington, IL 61704
Phone (309) 662-7700
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1194730648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 E WASHINGTON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617014310",
"telephone_number": "309-662-2277",
"fax_number": "309-663-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 E WASHINGTON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617014310",
"telephone_number": "309-662-2277",
"fax_number": "309-663-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVIC",
"first_name": "WILSON",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046007251",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0005784008",
"state": "IL"
}
],
"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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.