Peoria Eye Professionals

LBN: Central Illinois Family Eyecare Llc
Peoria Eye Professionals is an health care organization with primary practice located at 4203 N Sheridan Rd Ste A1-4, Peoria IL 61614-7170. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Central Illinois Family Eyecare Llc can be contacted via phone (309) 686-0763, or through Brtva, Dennis M via phone (309) 686-0763.

Contact Information

Primary practice address
4203 N Sheridan Rd Ste A1-4 Peoria IL 61614-7170
Phone: (309) 686-0763
Fax: (309) 685-8809
Website:
Map and Directions
Authorized official contact:
Name: Brtva, Dennis M Doctor of Optometry (OD)
Phone: (309) 686-0763

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-007731 Illinois

Profile Details

NPI number 1053852020
LBN Legal business name Central Illinois Family Eyecare Llc
DBA Doing business as Peoria Eye Professionals
Authorized official Brtva, Dennis M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2017
Last updated Jan 26th, 2022 - about 2 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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