Christa D Pietrzyk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009719 Issued in IL

Practice address

540 W North St
Suite 209
Manhattan, IL 60442-8201

Phone

(815) 478-0100

Fax

(815) 478-9100

NPI assigned

Apr 7, 2006

Last updated

Mar 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Eye Associates LTDGroup PAC ID 1153337779, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpietrzyk@iea.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Eye Associates LTD

  • Optometrist
  • Manhattan, IL
  • NPI 1770660441
  Medicare reassignment Care Compare group NPD
• Illinois Eye Associates, LTD

  • Optometrist
  • Peotone, IL
  • NPI 1396196242
  NPD
• Koby & Karp

  dba Doctors Eye Institute

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1083649172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1083677504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W NORTH ST",
            "address_2": "SUITE 209",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604428201",
            "telephone_number": "815-478-0100",
            "fax_number": "815-478-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W NORTH ST",
            "address_2": "SUITE 209",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604428201",
            "telephone_number": "815-478-0100",
            "fax_number": "815-478-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRZYK",
        "first_name": "CHRISTA",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Ariel Ortega, RDN
• Jaime L Pac, PSY.D.
• Anna Marie Parks, LCPC
• Ashley Pawlak
• Alice Renee Peavler, CCC-SLP/L
• Jeffrey Michael Pietrzyk, OD
• Colleen Patricia Powell, PT, DPT
• Principle Health Distributors, LLC
• Prism Physical Therapy & Performance Training PLLC
• Jennie Probst

• Optometrist in Manhattan, IL
• Providers in Manhattan, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.