Organization
ROGER W FITCH OD
Active
Other names
CARVER OPTICAL- VISION CARE OUTREACH
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
4900 N GLEN PARK PLACE RD, SUITE C, PEORIA, IL 61614-4679
(309) 691-4500
(309) 693-2534
Mailing address
4900 N GLEN PARK PLACE RD, SUITE C, PEORIA, IL 61614-4679
(309) 691-4500
(309) 693-2534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006836
IL
Other
Enumeration date
09/13/2006
Last updated
11/09/2010
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