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Dr. Jerome Charles Lietz

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jerome Charles Lietz
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1609968650
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/28/2006

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 1701 N LARKIN AVE SUITE 105
Crest Hill, IL 60403
Phone Number: 8157411140
Fax Number: 8157418449

Provider Business Practice Location Address:

Address: 1701 N LARKIN AVE SUITE 105
Crest Hill, IL 60403
Phone Number: 8157411140
Fax Number: 8157418449

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: IL

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About Dr. Jerome Charles Lietz

Dr. Jerome Charles Lietz (DR. JEROME CHARLES LIETZ ) is Doctors Optometrist Physician in Crest Hill, IL. The NPI Number for Dr. Jerome Charles Lietz is 1609968650.
The current location address for Dr. Jerome Charles Lietz is 1701 N LARKIN AVE SUITE 105 Crest Hill, IL 60403 and the contact number is 8157411140 and fax number is 8157418449. The mailing address for Dr. Jerome Charles Lietz is 1701 N LARKIN AVE SUITE 105 Crest Hill, IL 60403- 8157411140 (mailing address contact number - 8157411140).
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jerome Charles Lietz ?


Answer: The NPI Number for Dr. Jerome Charles Lietz is 1609968650

Where is Dr. Jerome Charles Lietz located?


Answer: Dr. Jerome Charles Lietz is located at 1701 N LARKIN AVE SUITE 105 Crest Hill, IL 60403.

What is the specialty for Dr. Jerome Charles Lietz ?


Answer: The Specialty of Dr. Jerome Charles Lietz is Doctors Optometrist Physician.

Are there any online reviews for Dr. Jerome Charles Lietz ?


Answer: Yes! Check It Now.

Are there any other health care providers in Crest Hill, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jerome Charles Lietz

Number of HCPCS 8
Number of Medicare Beneficiaries 44
Number of Services 107
Total Submitted Charge Amount 12285
Total Medicare Allowed Amount 8310.72
Total Medicare Payment Amount 5799.02
Total Medicare Standardized Payment Amount 5438.05
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 8
Number of Medicare Beneficiaries With Medical 44
Number of Medical Services 107
Total Medical Submitted Charge Amount 12285
Total Medical Medicare Allowed Amount 8310.72
Total Medical Medicare Payment Amount 5799.02
Total Medical Medicare Standardized Payment Amount 5438.05
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 29
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 25
Number of Male Beneficiaries 19
Number of Non-Hispanic White Beneficiaries 32
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.39
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.36
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.3063

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