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

ROGER W FITCH OD

Active Organization

ROGER W FITCH OD is a Optometrist organization located in PEORIA, Illinois. NPI 1558466912 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PEORIA, IL

Registration Details

NPI Number
1558466912
Provider Type
Organization
NPI Issued
Sep 13, 2006 (19.89035784676 yrs)
Last Updated
Nov 9, 2010
License
046006836 (IL)

Practice Information

Address
4900 N GLEN PARK PLACE RD
SUITE C
PEORIA, IL, 616144679
Browse IL providers · Browse ZIP 61614
Phone
3096914500
Fax
3096932534
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.