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

Q: What is Wendy's Eyeglass Shack, Inc.'s NPI number?

The NPI number for Wendy's Eyeglass Shack, Inc. is 1104081587. It was assigned to this organization in the NPPES registry on July 24, 2008.

Q: What is Wendy's Eyeglass Shack, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

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: August 16, 2026.

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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

Phone(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

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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.

WENDY SMITH

Technician/Technologist (Optician)

8424 N KNOXVILLE AVE
PEORIA, IL 61615

Peoria County (309) 693-0100

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 Wendy's Eyeglass Shack, Inc.'s NPI number?

The NPI number for Wendy's Eyeglass Shack, Inc. is 1104081587. It was assigned to this organization in the NPPES registry on July 24, 2008.

Where is Wendy's Eyeglass Shack, Inc. located?

Wendy's Eyeglass Shack, Inc. is located at 8424 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (309) 693-0100.

What is Wendy's Eyeglass Shack, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Wendy's Eyeglass Shack, Inc. was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.