Roger W Fitch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006836 Issued in IL

Practice address

4727 N Sheridan Rd
Peoria, IL 61614-5925

Phone

(309) 685-2020

Fax

(309) 693-2536

NPI assigned

Oct 31, 2005

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Center PCGroup PAC ID 0042282691, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97 of 100Reported as group

Quality

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Anderson, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1023104437
  Medicare reassignment
• Timothy G. Cundiff, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1912169962
  Medicare reassignment
• Andrew Joseph Milder, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1194509554
  Medicare reassignment
• Ronald J Suarez, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1376521146
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Care Center PC

  • Optometrist
  • Peoria, IL
  • NPI 1043291677
  Medicare reassignment Care Compare group NPD Authorized official
• Roger W Fitch OD

  dba Carver Optical- Vision Care Outreach

  • Optometrist
  • Peoria, IL
  • NPI 1558466912
  NPD (past) Authorized official
• Counseling & Care Management Services, Inc.

  • Community/Behavioral Health Agency
  • Chillicothe, IL
  • NPI 1891985594
  NPD (past)
• Frances House Inc

  dba Smith Square

  • Intellectual Disabilities Intermediate Care Facility
  • Moline, IL
  • NPI 1164694519
  NPD (past)
• Tina R Thomas OD LTD

  dba Thomas Eye Care

  • Optometrist
  • Washington, IL
  • NPI 1629398144
  NPD (past)
• Accelecare Wound Professionals of Kansas, PA

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1114211976
  NPD (past)
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1306837307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145925",
            "telephone_number": "309-685-2020",
            "fax_number": "309-693-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145925",
            "telephone_number": "309-685-2020",
            "fax_number": "309-693-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena A Fishkin, LSW
• Paul A.S. Fishkin, MD
• Gary Fisk, PA
• Fitch Enterprises of Peoria, LLC
• Katie Fitch
• Tyler Wolcott Fitch, M.D.
• Lisa Fix, MS,LCPC
• Francesca Flamburis
• Kristene Mychelle Flanagan, APRN
• David J Flanders, M.D.

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.