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WOW VISION PC
NPI 1104156009
Optometrist in Woodridge, IL

Active since December 28, 2009
7451 WOODWARD AVE, SUITE 101, WOODRIDGE, IL 60517(630) 663-9112(630) 663-9228 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wow Vision Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOW VISION PC (NPI 1104156009) is a healthcare organization registered as an optometrist in Woodridge, Illinois and active in the NPI registry since December 2009. The organization lists Mark D Wilmoth, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104156009
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWOW VISION PC
Location Address7451 WOODWARD AVE, SUITE 101Woodridge, IL 60517-2665
Mailing Address7451 Woodward Ave, Suite 101Woodridge, IL 60517-2665 · (630) 663-9112 · Fax (630) 663-9228
Phone(630) 663-9112
Fax(630) 663-9228
Organization SubpartNo
Authorized OfficialMark D WilmothPresident And Ceo · (630) 663-9112
Enumeration DateDecember 28, 2009
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1104156009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046009127
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7451 WOODWARD AVE, Woodridge, IL 60517
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wow Vision Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wow Vision PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Wilmoth, O.D.
Optometry
NPI 1912965823
7451 WOODWARD AVE SUITE 101
Woodridge, IL 60517
(630) 663-9112
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wow Vision PC's NPI number?

The NPI number for Wow Vision PC is 1104156009. It was assigned to this organization in the NPPES registry on December 28, 2009.

Where is Wow Vision PC located?

Wow Vision PC is located at 7451 Woodward Ave Suite 101, Woodridge, IL 60517. The listed phone number is (630) 663-9112.

What is Wow Vision PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wow Vision PC enrolled in Medicare?

Yes. Wow Vision PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wow Vision PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Wow Vision PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wow Vision PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Wow Vision PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wow Vision PC was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.