Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME CHARLES LIETZ, OD
ActiveDR. JEROME CHARLES LIETZ, OD is a Optometrist healthcare provider located in CREST HILL, Illinois. NPI 1609968650 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CREST HILL, IL
Registration Details
- NPI Number
- 1609968650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.904093067671 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1701 N LARKIN AVESUITE 105CREST HILL, IL, 60403Browse IL providers · Browse ZIP 60403
- Phone
- 8157411140
- Fax
- 8157418449
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CREST HILL, IL
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK MICHAEL VALENTINO | OD | 1235285321 |
| DONNA G. CARVER | O.D | 1720114499 |
| DR. STANISLAV MORDARSKIY | OD | 1477442747 |
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.