Lucem LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007443 Issued in IL

Legal business name

LUCEM LLC

Practice address

6256 E Riverside Blvd
Loves Park, IL 61111-4418

Phone

(815) 708-7083

Fax

(815) 904-6294

NPI assigned

May 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ashley A Meier

Title

Office Manager

Phone

(815) 708-7083

Specialties & licenses 1

Addresses

Other names 1

• Wight Eye Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald E Wight, O.D.

  • Optometrist
  • Loves Park, IL
  • NPI 1043260144
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1073002838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6256 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114418",
            "telephone_number": "815-708-7083",
            "fax_number": "815-904-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6256 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114418",
            "telephone_number": "815-708-7083",
            "fax_number": "815-904-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-708-7083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wight Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Lynn Lomas
• Elizabeth Diane Loudermilk, CRNA
• Douglas J. Loughead, M.D.
• Loves Park Chiropractic Clinic S C
• Jason Lubben, ATC
• Jacqueline M Macdonald, APRN, PMHNP-BC
• Amanda Devell Madenis, NHP, MW
• Becky L Madsen, CRNA
• Thomas Magerl, APN
• Michael Bernard Maloney, DO

• Optometrist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.