Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JARRETT CRAIG LIEDER OD
NPI 1104745256
Optometrist in Oshkosh, WI

Q: 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.

Q: What is Jarrett Lieder's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: 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 50 days 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.

Active since July 13, 2026PECOS Enrolled

2510 W 9TH AVE, OSHKOSH, WI 54904(920) 426-2020 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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.

NPPES Registry Identity

NPI1104745256

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJARRETT CRAIG LIEDERCredential: OD

Location Address2510 W 9TH AVEOshkosh, WI 54904-8125

Mailing Address2510 W 9th AveOshkosh, WI 54904-8125 · (920) 426-2020

Phone(920) 426-2020

Sole ProprietorNo

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1104745256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 4157-35

Definition

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.

2510 W 9TH AVE, Oshkosh, WI 54904

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarrett Craig Lieder Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TARA ELIZABETH-MARIE HOPPE OD

Optometrist

2510 W 9TH AVE
OSHKOSH, WI 54904

Winnebago County (920) 426-2020

DR. JENNIFER MARIE REILAND OD

Optometrist

2510 W 9TH AVE
OSHKOSH, WI 54904

Winnebago County (920) 426-2020

DR. DAVID MARSH OD

Optometrist

2510 W 9TH AVE
OSHKOSH, WI 54904

Winnebago County (920) 426-2020

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 enrollment system.

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 50 days 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.