Healthcare Provider Details

I. General information

NPI: 1649142076
Provider Name (Legal Business Name): ONEOPTO IL 2 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 STATE ROUTE 251
PERU IL
61354-1005
US

IV. Provider business mailing address

5255 STATE ROUTE 251
PERU IL
61354-1005
US

V. Phone/Fax

Practice location:
  • Phone: 815-224-2700
  • Fax: 815-224-1178
Mailing address:
  • Phone: 815-224-2700
  • Fax: 815-224-1178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA PAPPAS
Title or Position: PRESIDENT
Credential:
Phone: 217-877-7900