Active NPIOrganization

Illinois Physicians Eyecare Group, S.c.

Optometrist in Peoria, Illinois

NPI Number1669942884
Practice location
2415 W Glen Ave, Peoria, IL 61614-4533
Fax
309-693-2131
Last updated
June 23, 2026

Illinois Physicians Eyecare Group, S.c. is a healthcare organization based in Peoria, IL. Illinois Physicians Eyecare Group, S.c. practices in Peoria, IL. The NPI Number for Illinois Physicians Eyecare Group, S.c. is 1669942884. The current practice location address for Illinois Physicians Eyecare Group, S.c. is 2415 W Glen Ave, Peoria, IL 61614-4533 and can be reached out via phone at 309-966-1236 and via fax at 309-693-2131.

Provider Profile Details

NPI Number
1669942884
Provider Name
Illinois Physicians Eyecare Group, S.c.
Provider Entity Type
Organization
Address
2415 W Glen Ave, Peoria, IL 61614-4533
Phone Number
309-966-1236
Fax Number
309-693-2131
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Alisha Jackson · Senior Revenue Manager · 561-208-1591
Provider Enumeration Date
November 30, 2018
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2415 W Glen Ave
Peoria, IL 61614-4533
City
Peoria
Zip
61614-4533
Phone Number
309-966-1236
Fax Number
309-693-2131
Peoria, IL 61614Get directions →

Provider Business Mailing Address Details

Address
Po Box 24686
New York, NY 10087-4686
City
New York
State
NY
Zip
10087-4686
Phone Number
561-275-2020

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Illinois Physicians Eyecare Group, S.c.?

The NPI number of Illinois Physicians Eyecare Group, S.c. is 1669942884. It was assigned on November 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Illinois Physicians Eyecare Group, S.c.?

Illinois Physicians Eyecare Group, S.c. is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Illinois Physicians Eyecare Group, S.c. practice?

The practice location is 2415 W Glen Ave, Peoria, IL 61614-4533. The office can be reached at 309-966-1236 (phone) or 309-693-2131 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669942884 directly on the NPPES registry website.

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