DR. INGRYD J LORENZANA OD NPI 1295726040

NPI Information

NPI: 1295726040
Provider Name: DR. INGRYD J LORENZANA, OD
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2 EXECUTIVE CT STE 3
SOUTH BARRINGTON, IL
ZIP 60010
Phone: (847) 891-8003
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DR. Ingryd J Lorenzana, OD is a pediatrics optometrist in South Barrington, IL. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Ingryd J Lorenzana, OD NPI is 1295726040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 EXECUTIVE CT STE 3
SOUTH BARRINGTON, IL
ZIP 60010-507
Phone: (847) 891-8003
Fax: (847) 891-8045

The NPI 1295726040 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/1/2005 and was last updated on 1/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		046008743	ILLINOIS	No
2	152WP0200X	Optometrist	Pediatrics	046008743	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	046008743	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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