Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forest Bluff Optometry LLC

Organization Optometrist · NPI 1104628478

Forest Bluff Optometry LLC is an Optometrist in Lake Bluff, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207-209 N Waukegan Rd
Lake Bluff, IL 60044
Phone: (815) 501-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1104628478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Yin — Owner/Optometrist · (815) 501-7419
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 24, 2025
Mailing address1081 Oak Spring Ln, Libertyville, IL 60048-1613

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