Jerome C Lietz (NPI# 1609968650, PAC ID# 0042360141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609968650 |
| PAC ID by PECOS | 0042360141 |
| Professional Enrollment ID | I20090611000301 |
| Full Name | Jerome C Lietz |
| Organization Legal Name | PRIZIVA OPTICAL, LTD. |
| Address |
1701 N Larkin Ave Crest Hill IL 60403-1970 |
| Phone Number | 8157411140 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1355491788 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1701 N Larkin Ave, Crest Hill, IL 60403-1970 | 8157411140 | PRIZIVA OPTICAL, LTD. |
| Organization Legal Name | PRIZIVA OPTICAL, LTD. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay B Patel | Optometry | Priziva Optical, Ltd. | 1701 N Larkin Ave, Crest Hill, IL 60403-1970 |
| Street Address |
1701 N LARKIN AVE |
| City | CREST HILL |
| State | IL |
| Zip | 60403-1970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Gengenbacher | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1701 N Larkin Ave, Crest Hill, IL 60403-1970 |
| Jay B Patel | Optometry | Priziva Optical, Ltd. | 1701 N Larkin Ave, Crest Hill, IL 60403-1970 |
| Brian T Murphy | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1701 N Larkin Ave, Crest Hill, IL 60403-1970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristina A Perez Gomez | Internal Medicine | Premiumhealthcare PC | 16003 Executive Dr, Crest Hill, IL 60403-0500 |
| Rafael A Perez-guerra | Family Practice | 16003 Executive Dr, Crest Hill, IL 60403-0500 | |
| Catherine Stachnik | Neurology | Edward Health Ventures | 16151 Weber Dr, Crest Hill, IL 60403-0863 |
| Brenda G Ladson | Clinical Social Worker | Presence Healthcare Services | 16151 Weber Rd, Crest Hill, IL 60403-0864 |
| Andrea C Noey | Chiropractic | 16151 Weber Rd, Suite 210, Crest Hill, IL 60403-0865 | |
| Maaz S Mohiuddin | Allergy/immunology | 2228 Weber Rd, Crest Hill, IL 60403-0928 | |
| Veena N Nadkarni | Endocrinology | Northeast Endocrinology Consultants, Inc | 2222 Weber Rd, Crest Hill, IL 60403-0928 |
| Farhana P Alvi | Internal Medicine | 2206 Weber Rd, Crest Hill, IL 60403-0928 | |
| Anthony Easley | Podiatry | Associated Foot Surgeons of Joliet Ltd | 2204 Weber Rd, Crest Hill, IL 60403-0928 |
| Roy C Gilliland | Psychologist, Clinical | 2222 Weber Rd, Crest Hill, IL 60403-0928 | |
| Find all physicians in zip 60403 | |||
| City | CREST HILL |
| Zip Code | 60403 |
| Specialty | OPTOMETRY |
| City + Specialty | CREST HILL + OPTOMETRY |
Please comment or provide details below to improve the information on Jerome C Lietz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.