Dennis M Brtva

Optometrist in Peoria, IL. Organization (NPI-2).

NPI number1336112804

StatusActive

Last updated in NPPESJan 2, 2008

Details

NPI: 1336112804
Entity type: Organization (NPI-2)
Legal business name: Dennis M Brtva
Organization subpart: No
Enumeration date: Feb 7, 2006
Last updated: Jan 2, 2008

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	046-007731	IL	Yes

Other names

Dr Dennis M Brtva & Associates (Doing Business As)

Practice location

801 W Lake Ave
300 Evergreen Square
Peoria, IL 61614-5951

Phone 309-686-0763 · Fax 309-685-8809

Mailing address

801 W Lake Ave
300 Evergreen Square
Peoria, IL 61614-5951

Phone 309-686-0763 · Fax 309-685-8809

Authorized official

Dennis M Brtva
Owner
3096632211

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Peoria, IL

All 56 Optometrist providers in Peoria · All 5,546 providers in Peoria

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check