Lumen Optical Illinois 3, LLC
NPI #1295188654 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1295188654
- Entity Type
- Organization
- Organization Name
- Lumen Optical Illinois 3, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 20, 2016
- Last Updated
- Jul 20, 2016
Practice Location
- Address
- 182 RANDHURST VILLAGE DR
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-1142
- Phone
- (801) 316-5508
Authorized Official
- Name
- HEATHER ALLEN
- Title
- PRIVACY OFFICER
- Phone
- (801) 316-5508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Pediatrics — Pediatrics |
| Optometrist - Vision Therapy — Vision Therapy |
| Optometrist - Occupational Vision — Occupational Vision |
| Technician/Technologist |
| Technician/Technologist - Contact Lens — Contact Lens |
| Technician/Technologist - Contact Lens Fitter — Contact Lens Fitter |
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
| Optometrist |
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