Lake Optical, Inc. | |
2 W Grand Ave, Suite107, Fox Lake, IL 60020-1262 | |
(847) 587-0901 | |
(847) 587-8157 |
Full Name | Lake Optical, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2 W Grand Ave, Fox Lake, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235140138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007480 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Lake Optical, Inc. 2 W Grand Ave, Suite107, Fox Lake, IL 60020-1262 Ph: (847) 587-0901 | Lake Optical, Inc. 2 W Grand Ave, Suite107, Fox Lake, IL 60020-1262 Ph: (847) 587-0901 |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2 W Grand Ave Ste 107, Fox Lake, IL 60020 Phone: 920-429-2211 | |
Dr. Dennis Lewinson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2 W Grand Ave, Suite 107, Fox Lake, IL 60020 Phone: 847-587-0901 Fax: 847-587-8157 |