PEORIA EYE PROFESSIONALS
NPI 1053852020
Optometrist in Peoria, IL

Q: What is Central Illinois Family Eyecare LLC's NPI number?

The NPI number for Central Illinois Family Eyecare LLC is 1053852020. It was assigned to this organization in the NPPES registry on March 10, 2017. The provider is doing business as Peoria Eye Professionals.

Q: What is Central Illinois Family Eyecare LLC's specialty?

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

Active since March 10, 2017

4203 N SHERIDAN RD, STE A1-4, PEORIA, IL 61614(309) 686-0763(309) 685-8809 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peoria Eye Professionals NPPES

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

PEORIA EYE PROFESSIONALS (NPI 1053852020) is a healthcare organization registered as an optometrist in Peoria, Illinois and active in the NPI registry since March 2017. The organization lists Dennis M Brtva, Owner, as its authorized official.

NPPES Registry Identity

NPI1053852020

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCENTRAL ILLINOIS FAMILY EYECARE LLC

Location Address4203 N SHERIDAN RD, STE A1-4Peoria, IL 61614-7170

Mailing Address7815 N Knoxville Ave Ste 1aPeoria, IL 61614-2022 · (309) 839-1614 · Fax (309) 839-8874

Phone(309) 686-0763

Fax(309) 685-8809

Organization SubpartNo

Authorized OfficialDennis M BrtvaOwner · (309) 686-0763

Enumeration DateMarch 10, 2017

Last NPPES UpdateJanuary 26, 2022

NPPES CertifiedJanuary 26, 2022

✔ NPI 1053852020 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 · 046-007731

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.

4203 N SHERIDAN RD, Peoria, IL 61614

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Other Names 1

Doing Business AsPeoria Eye Professionals

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 Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1087405

Peoria Eye Professionals · Peoria, IL

Expired · Aug 3, 2026

CLIA Number14D1087405

Laboratory TypePractitioner Other

Certificate Effective DateAugust 4, 2024

Certificate Expiration DateAugust 3, 2026

Laboratory DirectorDennis M. Brtva

Laboratory Phone(309) 839-1614

Laboratory LocationPeoria Eye Professionals7815 N Knoxville Ave - St 1A, Peoria, IL 61614

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. CHRISTOPHER JAMES WETZLER O.D.

Optometrist

4203 N SHERIDAN RD, SUITE A1-4
PEORIA, IL 61614

Peoria County (309) 686-0763

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 Central Illinois Family Eyecare LLC's NPI number?

The NPI number for Central Illinois Family Eyecare LLC is 1053852020. It was assigned to this organization in the NPPES registry on March 10, 2017. The provider is doing business as Peoria Eye Professionals.

Where is Central Illinois Family Eyecare LLC located?

Central Illinois Family Eyecare LLC is located at 4203 N Sheridan Rd Ste A1-4, Peoria, IL 61614. The listed phone number is (309) 686-0763.

What is Central Illinois Family Eyecare LLC's specialty?

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

What insurance does Central Illinois Family Eyecare LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and BlueCross BlueShield of Tennessee list Central Illinois Family Eyecare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Illinois Family Eyecare LLC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.