WENDY'S EYEGLASS SHACK, INC.
NPI 1104081587
Technician/Technologist - Optician in Peoria, IL

Active since July 24, 2008
8424 N KNOXVILLE AVE, PEORIA, IL 61615(309) 693-0100 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wendy's Eyeglass Shack, Inc. NPPES

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

WENDY'S EYEGLASS SHACK, INC. (NPI 1104081587) is a healthcare organization registered as an optician in Peoria, Illinois and active in the NPI registry since July 2008. The organization lists Wendy Ruth Smith, Certified Optician, as its authorized official.

NPPES Registry Identity

NPI1104081587
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWENDY'S EYEGLASS SHACK, INC.
Location Address8424 N KNOXVILLE AVEPeoria, IL 61615-2032
Mailing Address8424 N Knoxville AvePeoria, IL 61615-2032 · (309) 693-0100
Organization SubpartNo
Authorized OfficialWendy Ruth SmithCertified Optician · (309) 693-0100
Enumeration DateJuly 24, 2008
Last NPPES UpdateSeptember 21, 2010
NPI 1104081587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in IL · 136295
Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

8424 N KNOXVILLE AVE, Peoria, IL 61615

Other Identifiers 1

Medicare NSC6433290001IL

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

Other Providers at the Same Location NPPES

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

Technician/Technologist (Optician)
8424 N KNOXVILLE AVE
PEORIA, IL 61615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104081587, enumerated as an "organization" on July 24, 2008.

The provider is located at 8424 N KNOXVILLE AVE PEORIA, IL 61615 and the phone number is (309) 693-0100.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.