Active NPI
Jeanie C Lucy, OD
- Optometrist
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008653
- Practice address
- 3450 Lacey Rd
Downers Grove, IL 60515 - Phone
- (630) 743-4500
- Fax
- (630) 743-4537
- NPI assigned
- Jan 4, 2007
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008653 | IL | Primary |
Addresses
Primary practice location
3450 Lacey Rd
Downers Grove, IL 60515
Mailing address
555 31St St Ste 306-P
Downers Grove, IL 60515-1235
Phone (630) 960-3928
Other practice location 1
555 31st St
Downers Grove, IL 60515
Phone (630) 960-3928
Other practice location 2
1700 E West Rd
Calumet City, IL 60409-5415
Phone (708) 891-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008653 | Medicaid | IL |
Other names 1
- Dr. Jeanie C Washington
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1700 E W Rd
Calumet City, IL 60409-5415
Phone (708) 891-3330
9612 Willow LN
Mokena, IL 60448-9318
Phone (708) 479-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008653 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interstate Optical LBR Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Midwest Eye Center | Optometrist | Current | Accepting new patients |
| Marquette Eye and Vision Center, LLC | Optometrist | Current | Accepting new patients |
| Dekalb Eye Consultants, LLC | Optometrist | Past | Accepting new patients |
| Midwestern University | Past | Accepting new patients |
Locations
1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330
2315 E 93rd St
Ste 400
Chicago, IL 60617
Phone (773) 374-1114
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
9612 Willow Ln
Mokena, IL 60448
Phone (708) 479-0000
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- jeanie.lucy.p1@direct.midwesternuniversity.nextgenshare.com
- jeanie.lucy.p7@direct.hauserross.nextgenshare.com
Organizations & group practices 8
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.
-
- Optometrist
- Mokena, IL
- NPI 1841156338
-
dba Midwest Eye Center, S.C.
- Ophthalmology Physician
- Calumet City, IL
- NPI 1790746428
Optometrist
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
dba Arlington Eye Physicians
- Ophthalmology Physician
- Sycamore, IL
- NPI 1326380510
Optometrist
-
dba MWU Multispecialty Clinic Downers Grove
- Clinic/Center
- Downers Grove, IL
- NPI 1538445317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1578610465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 31ST ST STE 306-P",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151235",
"telephone_number": "630-960-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 LACEY RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-743-4500",
"fax_number": "630-743-4537"
}
],
"practiceLocations": [
{
"address_1": "555 31st St",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "60515",
"country_code": "US",
"telephone_number": "630-960-3928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 E West Rd",
"address_purpose": "LOCATION",
"city": "Calumet City",
"state": "IL",
"postal_code": "604095415",
"country_code": "US",
"telephone_number": "708-891-3330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCY",
"first_name": "JEANIE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008653",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANIE",
"last_name": "WASHINGTON",
"middle_name": "C",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.
- 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.