Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illinois Physicians Eyecare Group, SC

Organization Optometrist · NPI 1669942884

Illinois Physicians Eyecare Group, SC is an Optometrist in Peoria, Illinois. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2415 W Glen Ave
Peoria, IL 61614-4533
Phone: (309) 966-1236
Fax: (309) 693-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1669942884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Jackson — Senior Revenue Manager · (561) 208-1591
NPI enumeratedNovember 30, 2018
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing addressPo Box 24686, New York, NY 10087-4686

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