Active NPI
Lisa Marie Politza, O.D.
- Optometrist
- Joliet, IL
National Provider Identifier
1013055656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008741
- Practice address
- 370 Houbolt Rd Ste 102
Joliet, IL 60431-8303 - Phone
- (815) 729-9143
- NPI assigned
- Feb 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008741 | IL | Primary |
Addresses
Primary practice location
370 Houbolt Rd Ste 102
Joliet, IL 60431-8303
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
3224 Ridge Rd Ste 102
Lansing, IL 60438-3191
Phone (708) 895-4422
Other names 1
- Lisa Marie Politza-Termunde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Impressions Optometric Associates, LLC | Optometrist | Current | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Current | Accepting new patients |
| Brand New Day, LLC | Optometrist | Past | Accepting new patients |
Locations
2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Bloomington, IN
- NPI 1083366363
-
- Eyewear Supplier
- Highland, IN
- NPI 1942960539
Optometrist
-
- Optometrist
- Lowell, IN
- NPI 1619604337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1013055656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HOUBOLT RD STE 102",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318303",
"telephone_number": "815-729-9143"
}
],
"practiceLocations": [
{
"address_1": "3224 Ridge Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "IL",
"postal_code": "604383191",
"country_code": "US",
"telephone_number": "708-895-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLITZA",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "POLITZA-TERMUNDE",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.