OrganizationActive
Roger W Fitch OD
NPI 1558466912 · Optometrist · Peoria, IL
Roger W Fitch OD is a Optometrist organization in Peoria, IL (NPI 1558466912).
Provider details
- NPI number
- 1558466912
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Roger Fitch, Owner(309) 691-4500
- License
- 046006836 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 N Glen Park Place Rd
Suite C
Peoria, IL 61614-4679
Phone: (309) 691-4500
Fax: (309) 693-2534
Street-level locationGet directions
Mailing address
4900 N Glen Park Place Rd
Peoria, IL 61614-4679
Other names (DBA / former)
- Doing business as
- Carver Optical- Vision Care Outreach
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2010-11-09
Frequently asked questions
- What is Roger W Fitch OD's NPI number?
- Roger W Fitch OD's National Provider Identifier (NPI) is 1558466912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roger W Fitch OD?
- Roger W Fitch OD is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Roger W Fitch OD located?
- Roger W Fitch OD's practice location on file with NPPES is 4900 N Glen Park Place Rd, Peoria, IL 61614-4679.
- What is Roger W Fitch OD's phone number?
- The practice phone number listed in the NPPES registry for Roger W Fitch OD is (309) 691-4500.
- Who is the authorized official for Roger W Fitch OD?
- The authorized official listed on Roger W Fitch OD's NPPES record is Roger Fitch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roger W Fitch OD's NPI active?
- Yes — Roger W Fitch OD's NPI (1558466912) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.