| Priziva Optical, Ltd. | |
|
1701 N Larkin Ave, 105, Crest Hill, IL 60403-1970 | |
| (815) 741-1140 | |
| (815) 741-8449 |
| Full Name | Priziva Optical, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1701 N Larkin Ave, Crest Hill, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518098318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jerome C Lietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609968650 PECOS PAC ID: 0042360141 Enrollment ID: I20090611000301 |
| Provider Name | Mujahid Saeed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255560413 PECOS PAC ID: 7416001904 Enrollment ID: I20090818000658 |
| Provider Name | Krystyna H Berry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417225210 PECOS PAC ID: 0345492146 Enrollment ID: I20121130000025 |
| Provider Name | Eva Shabo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508396516 PECOS PAC ID: 0547526568 Enrollment ID: I20171108000803 |
| Provider Name | Mariam Ethezaz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962996181 PECOS PAC ID: 5193078707 Enrollment ID: I20181030000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Priziva Optical, Ltd. 1701 N Larkin Ave, 105, Crest Hill, IL 60403-1970 Ph: (815) 741-1140 | Priziva Optical, Ltd. 1701 N Larkin Ave, 105, Crest Hill, IL 60403-1970 Ph: (815) 741-1140 |
Mr. Frank Michael Valentino, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Larkin Ave, Crest Hill, IL 60435 Phone: 815-741-1140 | |
Caren Lynn Weisz Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Rock Run Drive, Suite 2, Crest Hill, IL 60403 Phone: 815-744-6735 Fax: 815-744-6703 | |
Dr. Stanislav Mordarskiy, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Larkin Ave Ste 105, Crest Hill, IL 60403 Phone: 815-741-1140 | |
Gca Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403 Phone: 815-744-6735 | |
Dr. Jerome Charles Lietz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Larkin Ave, Suite 105, Crest Hill, IL 60403 Phone: 815-741-1140 Fax: 815-741-8449 | |
Donna G. Carver, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1520 N Rock Run Dr, Suite 2, Crest Hill, IL 60403 Phone: 815-744-6735 |