Lakeside Eye Care & Eye Wear Emporium, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAKESIDE EYE CARE & EYE WEAR EMPORIUM, LTD.

Practice address

1605 Benson Avenue
Evanston, IL 60201

Phone

(847) 864-9393

NPI assigned

Jul 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nader E. Fakhoury, O.D.NPI 1417929142

Title

President

Phone

(847) 864-9393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nader E Fakhoury, OD

  • Optometrist
  • Evanston, IL
  • NPI 1417929142
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467483941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 BENSON AVENUE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-864-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BENSON AVENUE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-864-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE EYE CARE & EYE WEAR EMPORIUM, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-864-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Ladd, PA-C
• Mary Sue P Lafferty, PHD
• Joanne Barbara Lagattolla, LCPC
• Lake Shore Gastroenterology
• Lakeside Digestion PLLC
• Lakeside Medical, Inc.
• Lakeside Oral & Facial Surgery Institute
• Khadija Lakhtir
• Archana Lal-Tabak, MD
• Lamarr Lemee Dental Corp

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.