Unknown Individual – Optometrist, NPI 1154318749
Optometrist
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616152170
Phone: (309) 693-9540
Fax: (309) 693-9542
Type: Mailing
Wendy's, 901, West Morton Avenue, Jacksonville, Morgan County, Illinois, 62650, United States
STE 113
JACKSONVILLE, IL 626503145
Phone: (217) 243-6506
Fax: (217) 243-4902
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92083 | Measurement of field of vision during daylight conditions | 30 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
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