LAURA WILSHIRE OD
NPI 1063965515
Optometrist in Peoria, IL

Q: What is Laura Wilshire's NPI number?

The NPI number for Laura Wilshire is 1063965515. It was assigned to this individual provider in the NPPES registry on August 2, 2016. The provider is also known as Laura Spiker.

Q: What is Laura Wilshire's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Wilshire was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment

8309 N KNOXVILLE AVE, STE. 1, PEORIA, IL 61615(309) 713-3664(309) 693-9754 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Laura Wilshire Od NPPES

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

LAURA WILSHIRE OD (NPI 1063965515) is an individual optometrist in Peoria, Illinois, licensed in Illinois (046-011052) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2016).

NPPES Registry Identity

NPI1063965515

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameLAURA WILSHIRECredential: OD

Location Address8309 N KNOXVILLE AVE, STE. 1Peoria, IL 61615-2170

Mailing Address8309 N Knoxville AvePeoria, IL 61615-2170 · (309) 693-9540 · Fax (309) 693-9754

Phone(309) 713-3664

Fax(309) 693-9754

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2016

Enumeration DateAugust 2, 2016

✔ NPI 1063965515 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 · 046-011052

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.

8309 N KNOXVILLE AVE, Peoria, IL 61615

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Other Names 1

Former Name (1)Laura Spiker

Other Identifiers 1

Medicaid046011052IL

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Wilshire Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567758279

PECOS Enrollment IDI20160907000329

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

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