Laura Wilshire, OD

NPI 1063965515 · on the registry since 2016

Practice

Address: 8309 N Knoxville Ave
Ste. 1
Peoria, IL 61615
Phone: (309) 713-3664
Fax: (309) 693-9754
Organisation at this address: J A K Enterprises Inc
J A K Enterprises Inc
Jak Enterprises Dba Jak Optical Laboratories
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois