DR. JEFFREY MICHAEL PIETRZYK (NPI# 1902880057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902880057 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL PIETRZYK |
| Credential | OD |
| Practice Address |
540 W North St Suite 209 Manhattan IL 60442-8201 |
| Practice Telephone | 8154780100 |
| Practice Fax Number | 8154789100 |
| Mailing Telephone | 8154780100 |
| Mailing Fax Number | 8154789100 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-009714 | IL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1553DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS PIN | 0009932433 | 01 | |
| IL | 046009714 | 05 | |
| MEDICARE RAILROAD PIN | P00313497 | 01 |
| Street Address |
540 W NORTH ST SUITE 209 |
| City | MANHATTAN |
| State | IL |
| Zip Code | 60442-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761973 | Vlad Badescu | Legal Medicine | 540 W North St, Suites 206/207, Manhattan, IL 60442-8201 | 2005-09-22 |
| 1497908388 | Brandon Seef | Physician Assistant | 540 W North St, Suites 206/207, Manhattan, IL 60442-8201 | 2008-10-23 |
| 1770660441 | Illinois Eye Associates Ltd | Optometrist | 540 W North St, Suite 209, Manhattan, IL 60442-8201 | 2006-11-01 |
| 1083677504 | Christa D Pietrzyk | Optometrist | 540 W North St, Suite 209, Manhattan, IL 60442-8201 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704951 | Ashley Pawlak | Physical Therapy Assistant | 240 S. Park St., Manhattan, IL 60442 | 2014-06-05 |
| 1295917300 | Christian E Foltys Dds PC | Dentist | 24600 South Route 52, Manhattan, IL 60442 | 2007-11-30 |
| 1275728073 | Kelly M Casey | Social Worker | 13920 W Joliet Rd, Manhattan, IL 60442 | 2007-09-14 |
| 1194758706 | Manhattan Fire Protection District | Ambulance | 100 Park Rd, Manhattan, IL 60442 | 2006-07-08 |
| 1003947995 | April M Kamba | Specialist/Technologist | 140 W 1st St, Manhattan, IL 60442-0579 | 2007-03-09 |
| 1285850511 | Melissa Culligan | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2007-04-17 |
| 1265862981 | Nicole Mcdonald | Art Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-11-15 |
| 1598102063 | Mary Gomulka | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-23 |
| 1982040754 | Mandy Stanis | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-20 |
| 1114288693 | Above and Beyond Pediatric Therapy, Corp | Early Intervention Provider Agency | 25145 Spring St, Manhattan, IL 60442-1402 | 2012-05-31 |
| Find all providers in zip 60442 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 1336496298 | Kristina Kennedy | Optometrist | 809 N 3rd St, Suite 200, Manhattan, KS 66502-5703 | 2012-08-10 |
| 1770852964 | Dr Jeanne Klopfenstein P A | Optometrist | 3246 Kimball Ave, Manhattan, KS 66503-2157 | 2011-12-19 |
| 1891922100 | Absolute Vision Care IIi, Inc. | Optometrist | 300 Market Pl, Manhattan, IL 60442-8100 | 2009-06-12 |
| 1922187178 | Julie Marie Witt | Optometrist | 1133 College Ave Ste D156, Manhattan, KS 66502-2784 | 2006-11-06 |
| 1164517611 | Paul E Bullock | Optometrist | 1441 Anderson Avenue, Manhattan, KS 66502-4072 | 2006-10-03 |
| 1932113511 | Tara Raney Hake | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2006-07-28 |
| 1720017411 | Stigge Vision Care | Optometrist | 1202 Moro St, Manhattan, KS 66502-5353 | 2006-07-03 |
| 1114991551 | Eye Care Associates of Manhattan, P.a. | Optometrist | 1441 Anderson Ave, Manhattan, KS 66502-4072 | 2006-02-14 |
| 1326029216 | Breckenridge Charles Dilly | Optometrist | 3012 Anderson Ave, Manhattan, KS 66503-2809 | 2005-11-08 |
| Find all providers in MANHATTAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.