Organization
WOW VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D WILMOTH OD (PRESIDENT AND CEO)
(630) 663-9112
Entity
Organization
Contact information
Practice address
7451 WOODWARD AVE, SUITE 101, WOODRIDGE, IL 60517-2665
(630) 663-9112
(630) 663-9228
Mailing address
7451 WOODWARD AVE, SUITE 101, WOODRIDGE, IL 60517-2665
(630) 663-9112
(630) 663-9228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009127
IL
Other
Enumeration date
12/28/2009
Last updated
01/02/2013
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