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Deactivated NPI 1922090331 Deactivated / Inactive NPI Male Practitioner

Dr. William E Fish , OD

Optometrist • Peoria, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Fish has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2005
NPI Deactivation Date January 23, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Fish, OD was a registered Optometrist practicing in Peoria, IL. Throughout an active medical career spanning 20 years, Dr. Fish provided care at the practice location at 400 NE SAINT MARK CT until profile deactivation on 2025-01-23.

Historical Medicare Part B clinical services included established patient complete exam of visual system, measurement of corneal curvature and depth of eye, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 Ne Saint Mark Ct

Peoria, IL 616033717

Telephone 3096741234
Fax 3096746422
Associated Practice Facility / Clinic
🏢 Heyde Eye Center S.c Facility NPI 1205829389

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Peoria, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
19 18 $141.05 $121.94
92136 Measurement of corneal curvature and depth of eye
16 12 $94.50 $39.68

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006834

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1275526790

Doctor of Optometry

NPI 1861484263

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 23, 2025

Record deactivated on January 23, 2025

NPI Profile Active June 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2010

Registered at 400 NE SAINT MARK CT, PEORIA, IL 616033717 (Tel: 3096741234)

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Updated Business Mailing Address June 18, 2010

Registered at 400 NE SAINT MARK CT, PEORIA, IL 616033717 (Tel: 3096741234)

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Provider Name / Credentials Updated June 18, 2010

Recorded as WILLIAM FISH, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2010

Optometrist (License #046006834 in IL)

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Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922090331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: June 18, 2010
Deactivation Date: January 23, 2025

Mailing Address

400 Ne Saint Mark Ct

Peoria, IL 616033717

Phone: 3096741234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.