VISION CARE CENTER PC
NPI 1043291677
Optometrist in Peoria, IL

Q: What is Vision Care Center PC's NPI number?

The NPI number for Vision Care Center PC is 1043291677. It was assigned to this organization in the NPPES registry on November 10, 2005.

Q: What is Vision Care Center PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 10, 2005

4727 N SHERIDAN RD, PEORIA, IL 61614(309) 670-2020(309) 693-2536 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vision Care Center Pc NPPES

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

VISION CARE CENTER PC (NPI 1043291677) is a healthcare organization registered as an optometrist in Peoria, Illinois and active in the NPI registry since November 2005. The organization lists Roger W Fitch, Owner, as its authorized official.

NPPES Registry Identity

NPI1043291677

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVISION CARE CENTER PC

Location Address4727 N SHERIDAN RDPeoria, IL 61614-5925

Mailing Address4727 N Sheridan RdPeoria, IL 61614-5925 · (309) 670-2020 · Fax (309) 693-2536

Phone(309) 670-2020

Fax(309) 693-2536

Organization SubpartNo

Authorized OfficialRoger W FitchOwner · (309) 691-4500

Enumeration DateNovember 10, 2005

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1043291677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046006836

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4727 N SHERIDAN RD, Peoria, IL 61614

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Other Identifiers 1

Medicaid046006826IL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

1%138 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

0%2,526 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 1% · 268 patients

1%268 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Vision Care Center PC carries, from the Medicare DMEPOS supplier directory.

Vision Care Center PC

DMEPOS supplier · Peoria, IL

✔

Accepts Medicare assignment

Vision Care Center PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20582225

Medicare Participant SinceJanuary 1, 2005

Supplier Location4727 N Sheridan RdPeoria, IL 61614

Phone(309) 670-2020

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW JOSEPH MILDER O.D.

Optometrist