Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MARIE JEZIORNY KEROUAC, O.D.
ActiveDR. LISA MARIE JEZIORNY KEROUAC, O.D. is a Optometrist healthcare provider located in BOURBONNAIS, Illinois. NPI 1588951222 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1588951222
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2011 (15.112226799429 yrs)
- Last Updated
- Apr 23, 2025
- License
-
046010449 (IL)
Practice Information
- Address
-
372 LARRY POWER RD STE ABOURBONNAIS, IL, 609145190Browse IL providers · Browse ZIP 60914
- Phone
- 8152164600
- Fax
- 8152164626
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| MATTHEW CLARK NICHOLSON | O.D. | 1992713309 |
| DR. JOE LOUIS LONG | O.D. | 1396810222 |
| DR. BRENT PATRICK DUNLAP | O.D. | 1760557698 |
| DAVID THOMAS SPENGEL | O.D. | 1306909445 |
| DEBORAH ANN TOTOS | O.D. | 1104989110 |
| DR. SHAWN W. DANAHEY | O.D. | 1538204995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.