ILLINOIS RETINA INSTITUTE, SC
NPI 1003875436
Ophthalmology in Peru, IL

Q: What is Illinois Retina Institute, Sc's NPI number?

The NPI number for Illinois Retina Institute, Sc is 1003875436. It was assigned to this organization in the NPPES registry on March 23, 2006.

Q: What is Illinois Retina Institute, Sc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 23, 2006

3602 MARQUETTE RD, PERU, IL 61354(815) 223-7400(815) 223-7477 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Illinois Retina Institute, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS RETINA INSTITUTE, SC (NPI 1003875436) is a healthcare organization registered as an ophthalmology in Peru, Illinois and active in the NPI registry since March 2006. The organization lists Kamal Kishore, President, as its authorized official.

NPPES Registry Identity

NPI1003875436

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameILLINOIS RETINA INSTITUTE, SC

Location Address3602 MARQUETTE RDPeru, IL 61354-1450

Mailing AddressPo Box 36Peru, IL 61354-0036 · (815) 223-7400

Phone(815) 223-7400

Fax(815) 223-7477

Organization SubpartNo

Authorized OfficialKamal KishorePresident · (815) 223-7400

Enumeration DateMarch 23, 2006

Last NPPES UpdateOctober 30, 2015

✔ NPI 1003875436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036100858

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3602 MARQUETTE RD, Peru, IL 61354

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Other Identifiers 3

Medicare UPING54298

Medicare PIN204115IL

Medicaid036100858IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Retina Institute, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Illinois Retina Institute, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Gynger Lentz, APRN

Nurse Practitioner

NPI 1639801343

3602 MARQUETTE RD
Peru, IL 61354

(815) 223-7400

✔ PECOS✔ Accepts MedicareSame address

Kamal Kishore, M.D.

Ophthalmology

NPI 1215059977

3602 MARQUETTE RD
Peru, IL 61354

(815) 223-7400

✔ PECOS✔ Accepts Medicare0.7 mi

Cristen Banks

Nurse Practitioner

NPI 1275201360

4505 N ROCKWOOD DR STE 1
Peoria, IL 61615

(309) 589-1880

✔ PECOS✔ Accepts Medicare49 mi

Roger Adler, MD

Ophthalmology

NPI 1063465110

725 S 14TH ST
Pekin, IL 61554

(309) 353-6660

✔ PECOS✔ Accepts Medicare60 mi

Aneesh Neekhra, MD

Neurology

NPI 1134384548

1225 S GEAR AVE SUITE 153, MERCY PLAZA
West Burlington, IA 52655

(319) 754-4400

✔ PECOS✔ Accepts Medicare113 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Retina Institute, Sc's NPI number?

The NPI number for Illinois Retina Institute, Sc is 1003875436. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Illinois Retina Institute, Sc located?

Illinois Retina Institute, Sc is located at 3602 Marquette Rd, Peru, IL 61354. The listed phone number is (815) 223-7400.

What is Illinois Retina Institute, Sc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Illinois Retina Institute, Sc enrolled in Medicare?

Yes. Illinois Retina Institute, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Retina Institute, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Illinois Retina Institute, Sc, in Neurology, Nurse Practitioner and Ophthalmology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Retina Institute, Sc was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.