Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Marie Jeziorny Kerouac, OD

Individual provider Optometrist · NPI 1588951222

Dr. Lisa Marie Jeziorny Kerouac, OD is an Optometry in Bourbonnais, Illinois. Graduated from Illinois College of Optometry at Chicago in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

372 Larry Power Rd Ste A
Bourbonnais, IL 60914-5190
Phone: (815) 216-4600
Fax: (815) 216-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010449 (IL)

Record details

NPI number1588951222
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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