Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ILLINOIS PHYSICIANS EYECARE GROUP, S.C.
NPI 1669942884
Optometrist in Peoria, IL

Q: What is Illinois Physicians Eyecare Group, S.C.'s specialty?

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

Active since November 30, 2018

2415 W GLEN AVE, PEORIA, IL 61614(309) 966-1236(309) 693-2131 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Aug 11, 2023, Nov 30, 2018 (3 updates tracked since 2018).

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About Illinois Physicians Eyecare Group, S.c. NPPES

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

ILLINOIS PHYSICIANS EYECARE GROUP, S.C. (NPI 1669942884) is a healthcare organization registered as an optometrist in Peoria, Illinois and active in the NPI registry since November 2018. The organization lists Alisha Jackson, Senior Revenue Manager, as its authorized official.

NPPES Registry Identity

NPI1669942884

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameILLINOIS PHYSICIANS EYECARE GROUP, S.C.

Location Address2415 W GLEN AVEPeoria, IL 61614-4533

Mailing AddressPo Box 24686New York, NY 10087-4686 · (561) 275-2020

Phone(309) 966-1236

Fax(309) 693-2131

Organization SubpartNo

Authorized OfficialAlisha JacksonSenior Revenue Manager · (561) 208-1591

Enumeration DateNovember 30, 2018

Last NPPES UpdateJune 23, 20263 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1669942884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

2415 W GLEN AVE, Peoria, IL 61614

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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.

MACARIUS, MAX & DANIEL, LLC

Eyewear Supplier

2415 W GLEN AVE
PEORIA, IL 61614

Peoria County (309) 966-1236

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 Illinois Physicians Eyecare Group, S.C.'s NPI number?

The NPI number for Illinois Physicians Eyecare Group, S.C. is 1669942884. It was assigned to this organization in the NPPES registry on November 30, 2018.

Where is Illinois Physicians Eyecare Group, S.C. located?

Illinois Physicians Eyecare Group, S.C. is located at 2415 W Glen Ave, Peoria, IL 61614. The listed phone number is (309) 966-1236.

What is Illinois Physicians Eyecare Group, S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Illinois Physicians Eyecare Group, S.C. was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.