Unknown Individual – Optometrist, NPI 1922090331
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Northeast Saint Mark Court, Peoria, Peoria County, Illinois, 61603-3625, United States
PEORIA, IL 616033717
Phone: (309) 674-1234
Fax: (309) 674-6422
Mailing address matches the actual address.
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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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61603)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 155 | 130 |
| OPTOMETRY | IL | 92083 | Measurement of field of vision during daylight conditions | 16 | 16 |
| OPTOMETRY | IL | 92134 | Diagnostic imaging of retina | 55 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL |
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