Individual provider Active NPI

Jennifer Geertz

  • Optometrist
  • Hodgkins, IL
National Provider Identifier
1467460105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
9450 W. Joliet Rd
Hodgkins, IL 60525
Phone
(708) 387-2190
Fax
(708) 387-2292
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

9450 W. Joliet Rd
Hodgkins, IL 60525

Mailing address

14500 Bianca LN
Hinckley, IL 60520-6253

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
I20031229000576 IL Practitioner - Optometry 3274431291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bird's Eye Optometry, LTDGroup PAC ID 5799683710, 3 clinicians

Practice addresses (Care Compare)

9450 Joliet Rd
Hodgkins, IL 60525-4156
Phone (708) 387-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bird's Eye Optometry, LTD Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

801 N Randall Rd
Batavia, IL 60510
Phone (630) 879-6812

9450 Joliet Rd
Hodgkins, IL 60525
Phone (708) 387-2099

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467460105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BIANCA LN",
            "city": "HINCKLEY",
            "state": "IL",
            "postal_code": "605206253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 W. JOLIET RD",
            "city": "HODGKINS",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-387-2190",
            "fax_number": "708-387-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEERTZ",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodgkins, IL

Sources for this page

Verify at the official NPI Registry.