Lake Optical, Inc.

NPI #1235140138 in Fox Lake, Illinois

Provider Information

NPI Number: 1235140138
Entity Type: Organization
Organization Name: Lake Optical, Inc.
Primary Specialty: Optometrist
Enumeration Date: Aug 10, 2006
Last Updated: Jul 20, 2010

Practice Location

Address: 2 W GRAND AVE
Address 2: SUITE107
City: Fox Lake
State: Illinois
ZIP Code: 60020-1262
Phone: (847) 587-0901

Authorized Official

Name: DR. DENNIS LEWINSON, O.D.
Title: OPTOMETRIST/OWNER
Phone: (847) 587-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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