Organization
KEHOE EYE CARE, PC
Active
Other names
Lasken Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H. KEHOE O.D. (PRESIDENT)
(309) 343-1179
Entity
Organization
Contact information
Practice address
7815 N KNOXVILLE AVE, PEORIA, IL 61614-2078
(309) 692-5500
(309) 692-5508
Mailing address
7815 N KNOXVILLE AVE, PEORIA, IL 61614-2078
(309) 692-5500
(309) 692-5508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366061
MEDICARE GROUP
IL
Enumeration date
02/11/2008
Last updated
02/26/2008
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