Laura E Wilshire (NPI# 1063965515, PAC ID# 2567758279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1063965515 |
| PAC ID by PECOS | 2567758279 |
| Professional Enrollment ID | I20160907000329 |
| Full Name | Laura E Wilshire |
| Organization Legal Name | JAK ENTERPRISES INC |
| Address |
1200 W Main St Suite 21 Peoria IL 61606-1218 |
| Phone Number | 3096722273 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173519014 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 W Main St, Suite 21, Peoria, IL 61606-1218 | 3096722273 | JAK ENTERPRISES INC |
| 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 | 3097133664 | JAK ENTERPRISES INC |
| Organization Legal Name | JAK ENTERPRISES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharna Annise Wiltz | Optometry | Jak Enterprises Inc | 3287 Court St, Pekin, IL 61554-6208 |
| Molly M Guithues | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
| Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Rhonda Dameron | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
| Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
| Jeffrey S Heden | Optometry | Jak Enterprises Inc | 4032 46th Ave, Rock Island, IL 61201-7164 |
| Brian D Henson | Optometry | Jak Enterprises Inc | 1712 W Reynold Rd, Pontiac, IL 61764-9695 |
| John J Rimkus | Optometry | Jak Enterprises Inc | 3215 E Lincolnway, Sterling, IL 61081-1772 |
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| David R Morgret | Optometry | Jak Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 |
| Street Address |
1200 W MAIN ST SUITE 21 |
| City | PEORIA |
| State | IL |
| Zip | 61606-1218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Jennifer M Schussele | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Robin C Wilson | Optometry | Jak Enterprises Inc | 1200 W Main St, Peoria, IL 61606-1218 |
| Razan Taha | Family Practice | Golden Valley Health Center | 1200 W Main St, Turlock, CA 95380-5107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| M Teresa C Fraser | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Maria M Karbowskia Jankowska | Physical Medicine and Rehabilitation | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Gregory M Blume | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Melissa A Glass | Nurse Practitioner | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Vahid Tohidi | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Hrachya Nersesyan | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Christopher M Zallek | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Ruth A Arms | Certified Clinical Nurse Specialist (cns) | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Shanta D Mattai | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Julia Biernot | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Find all physicians in zip 61606 | |||
| City | PEORIA |
| Zip Code | 61606 |
| Specialty | OPTOMETRY |
| City + Specialty | PEORIA + OPTOMETRY |
Please comment or provide details below to improve the information on Laura E Wilshire.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.