Lumen Optical Illinois 1, LLC
Organization Active NPI Optometrist · Kildeer, IL
NPI 1497110332 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1497110332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- LUMEN OPTICAL ILLINOIS 1, LLC
- Practice address
- 20505 Rand Rd
Kildeer, IL 60047-3004 - Phone
- (801) 792-0477
- NPI assigned
- Dec 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Heather Allen
- Title
- Privacy Officer
- Phone
- (801) 316-5508
National Provider Directory
Locations
20505 N Rand Rd
Ste 500
Kildeer, IL 60047
Phone (847) 796-7055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Corneal and Contact Management Optometrist |
152WC0802X | |||
| Low Vision Rehabilitation Optometrist |
152WL0500X | |||
| Pediatric Optometrist |
152WP0200X | |||
| Sports Vision Optometrist |
152WS0006X | |||
| Vision Therapy Optometrist |
152WV0400X | |||
| Technician/Technologist |
156F00000X | |||
| Contact Lens Technician/Technologist |
156FC0800X | |||
| Contact Lens Fitter |
156FC0801X | |||
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
20505 Rand Rd
Kildeer, IL 60047-3004
Mailing address
20505 Rand Rd
Suite 500
Kildeer, IL 60047-3004
Other providers in Kildeer, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.