Individual provider Active NPI

Ronald J Suarez, O.D.

  • Optometrist
  • Peoria, IL
National Provider Identifier
1376521146
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
4900 N Glen Park Place Rd
Suite C
Peoria, IL 61614-4679
Phone
(309) 691-4500
Fax
(309) 693-2536
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

4900 N Glen Park Place Rd
Suite C
Peoria, IL 61614-4679

Mailing address

4900 N Glen Park Place Rd
Suite C
Peoria, IL 61614-4679
Phone (309) 691-4500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040202000146 IL Practitioner - Optometry 0941103394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vep Il Optometric LLCGroup PAC ID 3678814217, 27 clinicians

Practice addresses (Care Compare)

3679 N Vermilion St
Unit a
Danville, IL 61832-1167
Phone (217) 213-6264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007327ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vep Il Optometric LLC Optometrist CurrentSince Apr 18, 2024 Accepting new patients
Roger W Fitch OD Optometrist PastSince May 15, 2020 Accepting new patients
Tazewell County Resource Centers Inc PastSince Jan 1, 1990 Accepting new patients
Professional Therapy Services, Inc PastSince Aug 1, 2012 Accepting new patients
HW Holdings PastSince Jan 31, 2020 Accepting new patients
Brendon J Johnson, OD, PC Optometrist Past Accepting new patients
Oneopto Il 2 PLLC Optometrist PastSince Sep 28, 2025 Accepting new patients
Tina R Thomas OD LTD Optometrist Past Accepting new patients

Locations

5650 Belleville Crossing St
Belleville, IL 62226
Phone (618) 234-2020

101 N Veterans Pkwy
Ste 301
Bloomington, IL 61704
Phone (309) 663-2700

101 N Veterans Pkwy
Bloomington, IL 61704
Phone (309) 663-2700

525 W Town Center Blvd
Champaign, IL 61822
Phone (217) 531-5393

1172 Collinsville Crossing Blvd
Collinsville, IL 62234
Phone (618) 345-8000

3679 N Vermilion St
Unit A
Danville, IL 61832
Phone (217) 213-6264

2201 Sycamore Rd
DeKalb, IL 60115
Phone (815) 754-2020

6679 Center Grove Rd
Edwardsville, IL 62025
Phone (618) 655-1500

106 W Barnett Ave
Forsyth, IL 62535
Phone (217) 877-7900

1419 W Lane Rd
Ste B
Machesney Park, IL 61115
Phone (815) 708-0805

1001 Charleston Ave E
Mattoon, IL 61938
Phone (217) 235-2020

4406 16th St
Moline, IL 61265
Phone (309) 762-2020

1222 Central Park Dr
O Fallon, IL 62269
Phone (618) 628-7800

5116 N Big Hollow Rd
Peoria, IL 61615
Phone (309) 683-0500

5255 State Route 251
Peru, IL 61354
Phone (815) 224-2700

3131 Broadway St
Quincy, IL 62301
Phone (217) 223-7900

6430 E State St
Ste 102
Rockford, IL 61108
Phone (815) 708-8561

2806 SW Plaza Dr
Springfield, IL 62704
Phone (217) 679-5653

4304 E Lincolnway
Sterling, IL 61081

811 Main St
Kansas City, MO 64180

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376521146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N GLEN PARK PLACE RD",
            "address_2": "SUITE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144679",
            "telephone_number": "309-691-4500",
            "fax_number": "309-693-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N GLEN PARK PLACE RD",
            "address_2": "SUITE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144679",
            "telephone_number": "309-691-4500",
            "fax_number": "309-693-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.