Active NPI
Lisa A Dryier, OD
- Optometrist
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009236
- Practice address
- 623 E Boughton Rd Ste 120
Bolingbrook, IL 60440-2694 - Phone
- (630) 783-1514
- NPI assigned
- Oct 27, 2006
- Last updated
- Feb 26, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 046009236 | IL | Primary |
Addresses
Primary practice location
623 E Boughton Rd Ste 120
Bolingbrook, IL 60440-2694
Mailing address
623 E Boughton Rd Ste 120
Bolingbrook, IL 60440-2694
Phone (630) 783-1514
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009236 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Special Eyes | Optometrist | Past | Accepting new patients |
Locations
623 E Boughton Rd
Ste 120
Bolingbrook, IL 60440
Phone (630) 783-1514
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069
Organizations & group practices 3
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
- Arlington Heights, IL
- NPI 1508028804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330214400000",
"number": "1659457448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 E BOUGHTON RD STE 120",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402694",
"telephone_number": "630-783-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 E BOUGHTON RD STE 120",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402694",
"telephone_number": "630-783-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYIER",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2012-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.