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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE STREET OPTICAL

Active Organization

LAKE STREET OPTICAL is a Optometrist organization located in AURORA, Illinois. NPI 1760702963 is currently active in the NPPES registry. Verify at CMS.

Optometrist · AURORA, IL

Registration Details

NPI Number
1760702963
Provider Type
Organization
NPI Issued
Jun 10, 2010 (16.199570131529 yrs)
Last Updated
Jun 10, 2010
License
04607174 (IL)

Practice Information

Address
1036 N LAKE ST
AURORA, IL, 605062467
Browse IL providers · Browse ZIP 60506
Phone
6308920244
Fax
6309470419
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in AURORA, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.