Lakeside Eye Care & Eye Wear Emporium, Ltd.

NPI #1467483941 in Evanston, Illinois

Provider Information

NPI Number: 1467483941
Entity Type: Organization
Organization Name: Lakeside Eye Care & Eye Wear Emporium, Ltd.
Primary Specialty: Optometrist
Enumeration Date: Jul 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1605 BENSON AVENUE
City: Evanston
State: Illinois
ZIP Code: 60201
Phone: (847) 864-9393

Authorized Official

Name: DR. NADER E. FAKHOURY, O.D.
Title: PRESIDENT
Phone: (847) 864-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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