Peoria Eye Clinic, Ltd

NPI #1366424756 in Peoria, Illinois

Provider Information

NPI Number: 1366424756
Entity Type: Organization
Organization Name: Peoria Eye Clinic, Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Nov 19, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2422 W NEBRASKA AVE
City: Peoria
State: Illinois
ZIP Code: 61604-3112
Phone: (309) 676-2020

Authorized Official

Name: JOHN C NELSON, MD
Title: PRESIDENT
Phone: (309) 676-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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