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NPI · 1609968650 · NPPES-sourced

Dr. Jerome Lietz OD

ActiveOptometrist
NPI Number
1609968650
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(815) 741-1140
Primary practice line
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-09-28
Primary practice addressIL · 60403
1701 N Larkin Ave, Suite 105Crest Hill, IL 60403
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About this NPIWhat this record shows.

NPI 1609968650 is registered to Dr. Jerome Lietz OD, a Optometrist practising at 1701 N Larkin Ave, Suite 105 in Crest Hill, Illinois. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jerome Lietz OD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-09-28
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jerome Lietz OD accepts. To confirm in-network status with your specific health plan, contact Dr. Jerome Lietz OD directly at (815) 741-1140.

Frequently asked

Yes. NPI 1609968650 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (815) 741-1140.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jerome Lietz OD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated2007-07
Enumerated2006-09-28
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in Illinois.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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