John Lieto Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG 1033 Issued in PA

Practice address

270 Indian Run Street
Wal-Mart Vision Center
Exton, PA 19341

Phone

(484) 875-9591

Fax

(484) 875-9725

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• George Linsey O.D. P.C.

  • Optometrist
  • Wyomissing, PA
  • NPI 1184700445
  Medicare reassignment NPD
• Healthy Vision LLC

  • Optometrist
  • Exton, PA
  • NPI 1285965012
  NPD (past) Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205939535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 1ST AVE",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 INDIAN RUN STREET",
            "address_2": "WAL-MART VISION CENTER",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "484-875-9591",
            "fax_number": "484-875-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIETO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Lewis, MSW, LCSW
• James Lewis, DO
• Joanne Lewis, CAC
• Libby Mills Nutrition
• Christine M Licata, PT, DPT
• Life in Progress Counseling, LLC
• Lifeline 2 Health
• Lighthouse Family Counseling
• Angelina Lim
• Lawrence M Lim

• Optometrist in Exton, PA
• Providers in Exton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.