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LAKE STREET OPTICAL NPI 1760702963


NPI Information

NPI: 1760702963
Provider Name: LAKE STREET OPTICAL
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1036 N LAKE ST
AURORA, IL
ZIP 60506
Phone: (630) 892-0244
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LAKE STREET OPTICAL is an optometrist in Aurora, IL. The provider is 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. LAKE STREET OPTICAL NPI is 1760702963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1036 N LAKE ST
AURORA, IL
ZIP 60506-467
Phone: (630) 892-0244
Fax: (630) 947-0419

The provider's authorized official is David D Dewaard .
The authorized official title is Owner and has the following contact phone number (630) 892-0244.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 6/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist04607174ILLINOISYes

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: 11/14/2023

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