Organization
CENTRAL ILLINOIS FAMILY EYECARE LLC
Active
Other names
Peoria Eye Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M BRTVA OD (OWNER)
(309) 686-0763
Entity
Organization
Contact information
Practice address
4203 N SHERIDAN RD, STE A1-4, PEORIA, IL 61614-7170
(309) 686-0763
(309) 685-8809
Mailing address
7815 N KNOXVILLE AVE STE 1A, PEORIA, IL 61614-2022
(309) 839-1614
(309) 839-8874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007731
IL
Other
Enumeration date
03/10/2017
Last updated
01/26/2022
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