Vision Care Center Pc

LBN: Vision Care Center Pc
Vision Care Center Pc is an health care organization with primary practice located at 4727 N Sheridan Rd , Peoria IL 61614-5925. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vision Care Center Pc can be contacted via phone (309) 670-2020, or through Fitch, Roger W via phone (309) 691-4500.

Contact Information

Primary practice address
4727 N Sheridan Rd Peoria IL 61614-5925
Phone: (309) 670-2020
Fax: (309) 693-2536
Website:
Map and Directions
Authorized official contact:
Name: Fitch, Roger W Doctor of Optometry (OD)
Phone: (309) 691-4500

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046006836 Illinois

Profile Details

NPI number 1043291677
LBN Legal business name Vision Care Center Pc
DBA Doing business as
Authorized official Fitch, Roger W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 28th, 2022 - about 3 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 1043291677 NPPES
Illinois MEDICAID 046006826

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