Jerome Lietz, OD

NPI 1609968650 · on the registry since 2006

Practice

Address: 1701 N Larkin Ave
Suite 105
Crest Hill, IL 60403
Phone: (815) 741-1140
Fax: (815) 741-8449
Organisation at this address: Dental Starz 3 L.L.C
Priziva Optical, Ltd.
Crest Hill Dental Studio
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois