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

Dr. Kenneth A Schaidle, OD

Individual provider Optometrist · NPI 1639166226

Dr. Kenneth A Schaidle, OD is an Optometry in Peoria, Illinois. Graduated from Indiana University - School of Optometry in 1991, 35 years ago. Practices with J a K Enterprises Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Trained at
Indiana University - School of Optometry
Licensed in
IL
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4620 N University St
Peoria, IL 61614-5889
Phone: (309) 692-8222
Fax: (309) 692-8226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046008408 (IL)

Record details

NPI number1639166226
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 29, 2005
Last updated in NPPESJanuary 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 1991 (35 years in practice)
Group practice J A K Enterprises Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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