DR. WILLIAM E FISH (NPI# 1922090331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090331 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM E FISH |
| Credential | OD |
| Practice Address |
400 Ne Saint Mark Ct Peoria IL 61603-3717 |
| Practice Telephone | 3096741234 |
| Practice Fax Number | 3096746422 |
| Mailing Telephone | 3096741234 |
| Mailing Fax Number | 3096746422 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046006834 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046006834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090598 | William W Fish | Family Medicine | 9784 N Ash Ave, Kansas City, MO 64157-9742 | 2005-08-12 |
| 1619069655 | William Mendenhall Fish | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-09-28 |
| Street Address |
400 NE SAINT MARK CT |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484263 | Raymond R Heyde | Ophthalmology | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-22 |
| 1275526790 | Jeffrey R Henline | Optometrist | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-30 |
| 1205829389 | Heyde Eye Center S.c | Optometrist | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1487175741 | Mark William Wellman | Optometrist | 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 | 2017-06-27 |
| 1255674313 | John M. Rinehart, O.d., P.C. | Optometrist | 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 | 2013-03-27 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1912212960 | Macarius, Max & Daniel, LLC | Optometrist | 2415 W Glen Ave, Peoria, IL 61614-4533 | 2010-08-15 |
| 1922242379 | John P Gysin Od | Optometrist | 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 | 2009-04-29 |
| 1912169962 | Timothy G. Cundiff | Optometrist | 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685 | 2008-07-01 |
| 1396883401 | Eye Boutique Inc | Optometrist | 2524 W Farrelly Ave, Peoria, IL 61615-3650 | 2007-02-01 |
| 1316098791 | Jackson Romaine Bennett Jr. | Optometrist | 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 | 2007-01-14 |
| 1487713160 | Christopher James Parot | Optometrist | 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 | 2006-12-08 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.