Dr Dennis M Brtva & Associates

LBN: Dennis M Brtva
Dr Dennis M Brtva & Associates is an health care organization with primary practice located at 801 W Lake Ave 300 Evergreen Square, Peoria IL 61614-5951. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dennis M Brtva can be contacted via phone (309) 686-0763, or through Brtva, Dennis M via phone (309) 663-2211.

Contact Information

Primary practice address
801 W Lake Ave 300 Evergreen Square Peoria IL 61614-5951
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) 663-2211

Health care specialties

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

Profile Details

NPI number 1336112804
LBN Legal business name Dennis M Brtva
DBA Doing business as Dr Dennis M Brtva & Associates
Authorized official Brtva, Dennis M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 2nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336112804 NPPES
Illinois Other 7221381 BLUE CROSS/BLUE SHIELD

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