JARRETT CRAIG LIEDER OD
NPI 1104745256
Optometrist in Oshkosh, WI
About Jarrett Craig Lieder Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARRETT CRAIG LIEDER OD (NPI 1104745256) is an individual optometrist in Oshkosh, Wisconsin, licensed in Wisconsin (4157-35) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jarrett Craig Lieder Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jarrett Lieder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oshkosh, WI 54904
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jarrett Lieder's NPI number?
The NPI number for Jarrett Lieder is 1104745256. It was assigned to this individual provider in the NPPES registry on July 13, 2026.
Where is Jarrett Lieder located?
Jarrett Lieder practices at 2510 W 9th Ave, Oshkosh, WI 54904. The listed phone number is (920) 426-2020.
What is Jarrett Lieder's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jarrett Lieder enrolled in Medicare?
Yes. Jarrett Lieder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jarrett Lieder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jarrett Lieder reassigns Medicare benefits to Dr J J Marsh Ltd (Oshkosh, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jarrett Lieder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jarrett Lieder accept?
Health plans from Providence Health Plan list Jarrett Lieder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jarrett Lieder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jarrett Craig Lieder, OD · NPI 1104745256
Optometrist provider in Oshkosh, Wisconsin. Individual provider, active in the CMS NPPES registry since July 13, 2026.
## Identity
- **NPI:** 1104745256 (Entity type: Individual)
- **Enumerated:** July 13, 2026
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4157-35 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2510 W 9TH AVE, Oshkosh, WI 54904-8125
- **Phone:** (920) 426-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dr J J Marsh Ltd (NPI 1366552663, Oshkosh, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104745256) · Data from the CMS NPPES public registry.