Lake Street Optical

LBN: Lake Street Optical
Lake Street Optical is an health care organization with primary practice located at 1036 N Lake St , Aurora IL 60506-2467. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lake Street Optical can be contacted via phone (630) 892-0244, or through Dewaard, David D via phone (630) 892-0244.

Contact Information

Primary practice address
1036 N Lake St Aurora IL 60506-2467
Phone: (630) 892-0244
Fax: (630) 947-0419
Website:
Map and Directions
Authorized official contact:
Name: Dewaard, David D Doctor of Optometry (OD)
Phone: (630) 892-0244

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04607174 Illinois

Profile Details

NPI number 1760702963
LBN Legal business name Lake Street Optical
DBA Doing business as
Authorized official Dewaard, David D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2010
Last updated Jun 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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