Active NPI
Steven J Lichtenstein, M.D.
- Ophthalmology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Practice address
- 8921 N. Wood Sage Rd.
Peoria, IL 61615-7822 - Phone
- (309) 243-2400
- Fax
- (309) 243-7918
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
8921 N. Wood Sage Rd.
Peoria, IL 61615-7822
Mailing address
8921 N. Wood Sage Rd.
Peoria, IL 61615-7822
Phone (309) 243-2400
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Louisville School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Illini Dr
Peoria, IL 61605-2576
Phone (309) 671-8484
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114063 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
7694 Solutions Ctr
Chicago, IL 60677
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
4927 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 308-3500
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
Organizations & group practices 5
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093702649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8921 N. WOOD SAGE RD.",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157822",
"telephone_number": "309-243-2400",
"fax_number": "309-243-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8921 N. WOOD SAGE RD.",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157822",
"telephone_number": "309-243-2400",
"fax_number": "309-243-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENSTEIN",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.