Organization
VISION CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER W FITCH O.D. (OWNER)
(309) 691-4500
Entity
Organization
Contact information
Practice address
4727 N SHERIDAN RD, PEORIA, IL 61614-5925
(309) 670-2020
(309) 693-2536
Mailing address
4727 N SHERIDAN RD, PEORIA, IL 61614-5925
(309) 670-2020
(309) 693-2536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006826
—
IL
Enumeration date
11/10/2005
Last updated
03/28/2022
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