Central Illinois Family Eyecare LLC
A Medicare group practice based in Bloomington, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204111644), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204111644
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170327000707 | IL | Part B Supplier - Clinic/Group Practice | 1881135853 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Central Illinois Family Eyecare LLC
dba Bloomington Eye Professionals
- Optometrist
- Bloomington, IL
- NPI 1881135853
-
Central Illinois Family Eyecare LLC
dba Peoria Eye Professionals
- Optometrist
- Peoria, IL
- NPI 1053852020
Practice locations
- Peoria, IL1
- Bloomington, IL1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Dennis M Brtva, O.D.
- Optometrist
- Bloomington, IL
- NPI 1215909056
-
Ashley Foster, OD
- Optometrist
- Bloomington, IL
- NPI 1396399374
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.