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Laura Wilshire, OD

Optometrist in Peoria, IL. Individual provider (NPI-1).

NPI number1063965515
StatusActive
Last updated in NPPESAug 2, 2016

Details

NPI
1063965515
Entity type
Individual (NPI-1)
Name
Laura Wilshire
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2016
Last updated
Aug 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist046-011052ILYes

Other names

  • Laura Spiker (Former Name)

Practice location

8309 N Knoxville Ave
Ste. 1
Peoria, IL 61615-2170

Phone 309-713-3664 · Fax 309-693-9754

Mailing address

8309 N Knoxville Ave
Peoria, IL 61615-2170

Phone 309-693-9540 · Fax 309-693-9754

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