Peoria Eye Clinic, Ltd

LBN: Peoria Eye Clinic, Ltd
Peoria Eye Clinic, Ltd is an health care organization with primary practice located at 2422 W Nebraska Ave , Peoria IL 61604-3112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Peoria Eye Clinic, Ltd can be contacted via phone (309) 676-2020, or through Nelson, John C via phone (309) 676-2020.

Contact Information

Primary practice address
2422 W Nebraska Ave Peoria IL 61604-3112
Phone: (309) 676-2020
Fax: (309) 673-2020
Website:
Map and Directions
Authorized official contact:
Name: Nelson, John C Doctor of Medicine (MD)
Phone: (309) 676-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1366424756
LBN Legal business name Peoria Eye Clinic, Ltd
DBA Doing business as
Authorized official Nelson, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1366424756 NPPES
Illinois Other 37103572 FEDERAL TAX ID NUMBER

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