Illinois Eye Associates, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009714 Issued in IL

Legal business name

ILLINOIS EYE ASSOCIATES, LTD

Practice address

116 N Second St
Peotone, IL 60468-9247

Phone

(708) 258-3225

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey M Pietrzyk, ODNPI 1902880057

Title

President

Phone

(815) 478-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Illinois Eye Associates LTD

  • Optometrist
  • Manhattan, IL
  • NPI 1770660441

  1153337779

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Illinois Eye Associates LTD

  • Optometrist
  • Manhattan, IL
  • NPI 1770660441

  O20060306000462

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Illinois Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Illinois Eye Associates LTD

  • Optometrist
  • Manhattan, IL
  • NPI 1770660441
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Michael Pietrzyk, OD

  • Optometrist
  • Manhattan, IL
  • NPI 1902880057
  NPD Authorized official
• Christa D Pietrzyk, O.D.

  • Optometrist
  • Manhattan, IL
  • NPI 1083677504
  NPD
• Lindsey B Rector, OD

  • Optometrist
  • Manhattan, IL
  • NPI 1881325496
  NPD

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1396196242",
    "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": "116 N SECOND ST",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689247",
            "telephone_number": "708-258-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS EYE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "PIETRZYK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-478-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Henry, FNP
• Highland Park CVS, L.L.C. (CVS Pharmacy #10737)
• Sandra J Hillegonds
• Home Medical Supplies Inc
• Michael C Hyre, MD
• Ize Vision Center of Peotone, LLC
• Danielle Jean Jacques
• Stacy Kaplan
• Edmund C March, D.M.D.
• Peter J. March, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.