Individual provider Active NPI

Katherine Lenz, O. D.

  • Optometrist
  • Lake Zurich, IL
National Provider Identifier
1215376165
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010682 Issued in IL
Practice address
950 W Il Route 22
Lake Zurich, IL 60047-3417
Phone
(847) 726-2020
Fax
(847) 726-2036
NPI assigned
Jun 24, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010682 IL Primary

Addresses

Primary practice location

950 W Il Route 22
Lake Zurich, IL 60047-3417

Mailing address

950 Main St Ste 125
Lake Zurich, IL 60047-3419
Phone (847) 726-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829001567 IL Practitioner - Optometry 5294953477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palatine Vision Center, LLCGroup PAC ID 0244360642, 5 clinicians

Practice addresses (Care Compare)

456 W Northwest Hwy
A
Palatine, IL 60067-2560
Phone (847) 358-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palatine Vision Center, LLC Optometrist CurrentSince Aug 20, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

950 W State Route 22
Ste 125
Lake Zurich, IL 60047
Phone (847) 726-2020

456 W Northwest Hwy
#A
Palatine, IL 60067
Phone (847) 358-4950

456 W Northwest Hwy
Ste 100
Palatine, IL 60067
Phone (847) 358-4950

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215376165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST STE 125",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473419",
            "telephone_number": "847-726-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W IL ROUTE 22",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473417",
            "telephone_number": "847-726-2020",
            "fax_number": "847-726-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.