Individual provider Active NPI

Jeanie C Lucy, OD

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1578610465
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008653 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
046008653MedicaidIL

Other names 1

  • Dr. Jeanie C Washington Former name

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
I20090702000554 IL Practitioner - Optometry 6608927603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Midwest Eye CenterGroup PAC ID 3375525645, 8 clinicians
Interstate Optical LBR IncGroup PAC ID 8628165750, 2 clinicians

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

LicenseStateTypeSpecialty
046008653ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Interstate Optical LBR Inc CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Midwest Eye Center Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Marquette Eye and Vision Center, LLC Optometrist CurrentSince Jan 4, 2026 Accepting new patients
Dekalb Eye Consultants, LLC Optometrist PastSince Apr 1, 2025 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

  • Direct secure messaging: jeanie.lucy.p1@direct.midwesternuniversity.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.