Lake Street Optical
Lake Street Optical is an Optometrist in Aurora, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
1036 N Lake StAurora, IL 60506-2467
Phone: (630) 892-0244
Fax: (630) 947-0419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 04607174 (IL) |
|---|
Record details
| NPI number | 1760702963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Dewaard — Owner · (630) 892-0244 |
| NPI enumerated | June 10, 2010 |
| Last updated in NPPES | June 10, 2010 |
| Mailing address | 1036 N Lake St, Aurora, IL 60506-2467 |
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