Individual
BEN RASAMIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
412 RIVERSIDE DR, EAST PEORIA, IL 61611-2098
(309) 316-3648
Mailing address
501 W WASHINGTON ST APT 315, EAST PEORIA, IL 61611-2679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.012135
IL
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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