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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENNIS M BRTVA

Active Organization

DENNIS M BRTVA is a Optometrist organization located in PEORIA, Illinois. NPI 1336112804 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PEORIA, IL

Registration Details

NPI Number
1336112804
Provider Type
Organization
NPI Issued
Feb 7, 2006 (20.487613402337 yrs)
Last Updated
Jan 2, 2008

Practice Information

Address
801 W LAKE AVE
300 EVERGREEN SQUARE
PEORIA, IL, 616145951
Browse IL providers · Browse ZIP 61614
Phone
3096860763
Fax
3096858809
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in PEORIA, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.