Dr Jerome Charles Lietz, OD | |
1701 N Larkin Ave, Suite 105, Crest Hill, IL 60403 | |
(815) 741-1140 | |
(815) 741-8449 |
Full Name | Dr Jerome Charles Lietz |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 42 Years |
Location | 1701 N Larkin Ave, Crest Hill, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609968650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Provider Name | Priziva Optical, Ltd. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518098318 PECOS PAC ID: 1355491788 Enrollment ID: O20090605000437 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerome Charles Lietz, OD 1701 N Larkin Ave, Suite 105, Crest Hill, IL 60403 Ph: (815) 741-1140 | Dr Jerome Charles Lietz, OD 1701 N Larkin Ave, Suite 105, Crest Hill, IL 60403 Ph: (815) 741-1140 |
Dr. Caren Lynn Weisz, M.ED., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403 Phone: 815-744-6735 Fax: 815-744-6703 | |
Mr. Frank Michael Valentino, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Larkin Ave, Crest Hill, IL 60435 Phone: 815-741-1140 | |
Pediatric Optometry Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Rock Run Drive, Suite 2, Crest Hill, IL 60403 Phone: 815-744-6735 Fax: 815-744-6703 | |
Gca Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403 Phone: 815-744-6735 | |
Pearle Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1701 N Larkin Ave, 105, Crest Hill, IL 60403 Phone: 815-741-1140 Fax: 815-741-8449 | |
Donna G. Carver, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1520 N Rock Run Dr, Suite 2, Crest Hill, IL 60403 Phone: 815-744-6735 |