Lake Street Optical
NPI #1760702963 in Aurora, Illinois
Provider Information
- NPI Number
- 1760702963
- Entity Type
- Organization
- Organization Name
- Lake Street Optical
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 10, 2010
- Last Updated
- Jun 10, 2010
Practice Location
Authorized Official
- Name
- DR. DAVID D DEWAARD, O.D.
- Title
- OWNER
- Phone
- (630) 892-0244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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