Jeanie C. Lucy PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JEANIE C. LUCY PC

Practice address

6340 Americana Drive Suite 1108
Willowbrook, IL 60527

Phone

(312) 860-0654

Fax

(773) 346-7252

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeanie C Lucy, OD

Title

Optometrist

Phone

(312) 860-0654

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1558850495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 AMERICANA DRIVE SUITE 1108",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "312-860-0654",
            "fax_number": "773-346-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 AMERICANA DRIVE SUITE 1108",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "312-860-0654",
            "fax_number": "773-346-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANIE C. LUCY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "LUCY",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "312-860-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008653",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Yue, DMD, Ms, PC
• Alfred Ivanov
• Ashley Mariah Jackson
• M. Patricia Janicek, RN, IBCLC
• David Jarosz
• Jessie Cheung Dermatology, SC
• Qiying Jiang, LIC AC
• James T John, M.D.
• Jamilah Johnson
• Pamela J Johnson, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.