BLOOMINGTON EYE PROFESSIONALS
NPI 1881135853
Optometrist in Bloomington, IL

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

The NPI number for Central Illinois Family Eyecare LLC is 1881135853. It was assigned to this organization in the NPPES registry on March 10, 2017. The provider is doing business as Bloomington 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, 2017CLIA 14D1088681 · Waiver

1015 S MERCER AVE, BLOOMINGTON, IL 61701(309) 213-9200(309) 213-9300 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Bloomington Eye Professionals NPPES

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

BLOOMINGTON EYE PROFESSIONALS (NPI 1881135853) is a healthcare organization registered as an optometrist in Bloomington, Illinois and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through September 1, 2028 and lists Dennis M Brtva, Owner, as its authorized official.

NPPES Registry Identity

NPI1881135853

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCENTRAL ILLINOIS FAMILY EYECARE LLC

Location Address1015 S MERCER AVEBloomington, IL 61701-7107

Mailing Address1015 S Mercer AveBloomington, IL 61701-7107 · (309) 213-9200 · Fax (309) 213-9300

Phone(309) 213-9200

Fax(309) 213-9300

Organization SubpartYes

Authorized OfficialDennis M BrtvaOwner · (309) 213-9200

Enumeration DateMarch 10, 2017

Last NPPES UpdateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1881135853 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.

1015 S MERCER AVE, Bloomington, IL 61701

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Other Names 1

Doing Business AsBloomington 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloomington Eye Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bloomington Eye Professionals, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dennis Brtva, O.D.

Optometry

NPI 1215909056

1015 S MERCER AVE
Bloomington, IL 61701

(309) 213-9200

✔ PECOS✔ Accepts MedicareSame address

Ashley Foster, OD

Optometry

NPI 1396399374

2109 N VETERANS PKWY
Bloomington, IL 61704

(309) 663-2211

✔ PECOS✔ Accepts Medicare3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D1088681

Bloomington Eye Professionals · Bloomington, IL

Active · expires Sep 1, 2028

CLIA Number14D1088681

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 2, 2026

Certificate Expiration DateSeptember 1, 2028

Laboratory DirectorDennis M. Brtva

Laboratory Phone(309) 663-2211

Laboratory LocationBloomington Eye Professionals1015 S Mercer Ave, Bloomington, IL 61701

CLIA data matches this NPI record on: Address Name

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

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 1881135853. It was assigned to this organization in the NPPES registry on March 10, 2017. The provider is doing business as Bloomington Eye Professionals.

Where is Central Illinois Family Eyecare LLC located?

Central Illinois Family Eyecare LLC is located at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (309) 213-9200.

What is Central Illinois Family Eyecare LLC's specialty?

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

Is Central Illinois Family Eyecare LLC enrolled in Medicare?

Yes. Central Illinois Family Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Illinois Family Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Central Illinois Family Eyecare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central Illinois Family Eyecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1088681) is associated with this NPI, valid through September 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Illinois Family Eyecare LLC was last updated on February 28, 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.