Skip to content
NPISignal

Individual Healthcare Provider

Enrique Peralta

NPI Record: ActiveOphthalmology
NPI1346237534
Swansea, Illinois

Provider's NPPES record last updated: April 16, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1346237534
Primary Specialty
Ophthalmology
Practice Location
Swansea, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:00 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Ophthalmology

    Allopathic & Osteopathic Physicians

    Primary

    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

    Taxonomy code 207W00000X

Provider-Reported License Information

Ophthalmology (Illinois)
036-112111
Ophthalmology (Missouri)
2004012770
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3990 N Illinois St

Swansea, Illinois 62226-1919

Phone: (618) 277-1130

Additional Practice Location

408 W 2nd St

Centralia, Illinois 62801-3402

Phone: (618) 532-5531

Additional Practice Location

4900 W Main St

Belleville, Illinois 62226-4725

Phone: (618) 235-2400

Fax: (618) 277-4917

Additional Practice Location

12 Professional Park Dr

Maryville, Illinois 62062-5672

Phone: (618) 288-7266

Fax: (618) 277-4917

Additional Practice Location

1310 Dadrian Prof Park

Godfrey, Illinois 62035-1685

Phone: (618) 433-5005

Fax: (618) 277-4917

Additional Practice Location

2421 Corporate Ctr

Granite City, Illinois 62040-4148

Phone: (618) 931-6980

Fax: (618) 277-4917

Additional Practice Location

1066 Executive Parkway Dr Ste 200

Saint Louis, Missouri 63141-6340

Phone: (314) 394-3201

Fax: (314) 394-3253

Additional Practice Location

3000 Broadway St

Mount Vernon, Illinois 62864-2340

Phone: (618) 242-4141

Fax: (618) 277-4917

Additional Practice Location

2121 S State Route 157

Edwardsville, Illinois 62025-3607

Phone: (618) 277-1130

Fax: (618) 277-4917

Record Information

Enumeration Date
October 3, 2005
Provider's NPPES Record Last Updated
April 16, 2026
Certification Date
April 16, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue