OrganizationActive
Midwest Vision Clinic PLC
NPI 1154345551 · Optometrist · Fulton, IL
Provider details
- NPI number
- 1154345551
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brian Peck, Owner Optometrist(815) 589-2552
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1130 17th Street
Fulton, IL 61252
Phone: (815) 589-2252
Fax: (815) 589-4201
Approximate (ZIP-level) locationGet directions
Mailing address
1130 17th Street
Fulton, IL 61252
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.