Jerome Charles Lietz in Crest Hill - Optometrist
Jerome Charles Lietz - NPI 1609968650
Jerome Charles Lietz is a Optometrist in Crest Hill, Illinois. Jerome Charles Lietz practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerome Charles Lietz is 1609968650. The last update date is 2007-07-08.
Jerome Charles Lietz's current location address is 1701 N Larkin Ave, Crest Hill, Illinois. You can contact this provider via phone number 8157411140 and fax number 8157418449. The mailing address for Jerome Charles Lietz is 1701 N Larkin Ave, Crest Hill, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Charles Lietz |
|---|---|
| Address | 1701 N Larkin Ave, Crest Hill, Illinois |
| Phone Number | 8157411140 |
| Fax Number | 8157418449 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1609968650 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1701 N Larkin Ave |
|---|---|
| City | Crest Hill |
| State | Illinois (IL) |
| Post Code | 60403 |
| Phone Number | 8157411140 |
| Fax Number | 8157418449 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: 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 |
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What is the unique identification code assigned to Jerome Charles Lietz by the Centers for Medicare & Medicaid Services?
The Jerome Charles Lietz has been issued the NPI (National Provider Identifier) 1609968650. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerome Charles Lietz?
The Jerome Charles Lietz is situated at 1701 N Larkin Ave, in the city of Crest Hill, state of IL, with the zip code 60403.
What is Jerome Charles Lietz's area of expertise and its corresponding taxonomy classification?
The Jerome Charles Lietz's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did Jerome Charles Lietz receive its 1609968650 assignment?
The Jerome Charles Lietz was assigned its 1609968650 on 2006-09-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Jerome Charles Lietz's details last updated?
The information pertaining to the Jerome Charles Lietz, including its address, specialty, and other details, was most recently updated on 2007-07-08.