Central Illinois Family Eyecare LLC

NPI #1053852020 in Peoria, Illinois

Provider Information

NPI Number: 1053852020
Entity Type: Organization
Organization Name: Central Illinois Family Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 10, 2017
Last Updated: Jan 26, 2022

Practice Location

Address: 4203 N SHERIDAN RD
Address 2: STE A1-4
City: Peoria
State: Illinois
ZIP Code: 61614-7170
Phone: (309) 686-0763

Authorized Official

Name: DR. DENNIS M BRTVA, OD
Title: OWNER
Phone: (309) 686-0763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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