Optik Boutique - Optometrist in Peoria, IL

Optik Boutique is a Optometrist based in Peoria, Illinois. Optik Boutique is licensed to practice in Illinois (license number 046007514) and their current practice location is 456 Fulton St, Suite 140, Peoria, Illinois. It can be reached at their office (for appointments etc.) via phone at (309) 674-6633.

NPI number for Optik Boutique is 1124263017 and their current mailing address is 456 Fulton St, Suite 140, Peoria, Illinois. Optik Boutique does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124263017.

Contact Information

Optik Boutique
456 Fulton St, Suite 140,
Peoria, IL 61602-1274
(309) 674-6633
(309) 674-6694



Healthcare Provider's Profile

Full NameOptik Boutique
TypeFacility
SpecialityOptometrist
Location456 Fulton St, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124263017
  • Provider Enumeration Date: 12/08/2008
  • Last Update Date: 05/17/2010

Medical Identifiers

Medical identifiers for Optik Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124263017NPI-NPPES
046007514MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046007514 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Optik Boutique is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optik Boutique
456 Fulton St, Suite 140,
Peoria, IL 61602-1274

Ph: (309) 674-6633
Optik Boutique
456 Fulton St, Suite 140,
Peoria, IL 61602-1274

Ph: (309) 674-6633

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