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FITCH ENTERPRISES OF PEORIA LLC NPI 1326366618


NPI Information

NPI: 1326366618
Provider Name: FITCH ENTERPRISES OF PEORIA, LLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
4900 N GLEN PARK PLACE RD
SUITE C2
PEORIA, IL
ZIP 61614
Phone: (309) 691-4500
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FITCH ENTERPRISES OF PEORIA, LLC is a vision therapy optometrist in Peoria, IL. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. FITCH ENTERPRISES OF PEORIA, LLC NPI is 1326366618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4900 N GLEN PARK PLACE RD
SUITE C2
PEORIA, IL
ZIP 61614-679
Phone: (309) 691-4500
Fax: (309) 693-2536

The provider's authorized official is Roger W Fitch .
The authorized official title is Owner and has the following contact phone number (309) 691-4500.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy046006836ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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