LUMEN OPTICAL ILLINOIS 2, LLC

EVANSTON, IL
NPI1386192219
Entity TypeOrganization
Authorized ContactHEATHER ALLEN
Privacy Officer
801-316-5508
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Additional Taxonomies152WP0200X Optometrist, Pediatrics
152WV0400X Optometrist, Vision Therapy
152WX0102X Optometrist, Occupational Vision
156F00000X Technician/Technologist
156FC0800X Technician/Technologist, Contact Lens
156FC0801X Technician/Technologist, Contact Lens Fitter
156FX1800X Technician/Technologist, Optician
332H00000X Eyewear Supplier (Equipment, not the service)
Enumeration Date2016-09-20
Last Update Date2016-09-20
Business Address
LUMEN OPTICAL ILLINOIS 2, LLC
809 CHURCH ST
EVANSTON, IL 60201-3706
Phone number: 801-316-5508
Mailing Address
LUMEN OPTICAL ILLINOIS 2, LLC
809 CHURCH ST
EVANSTON, IL 60201-3706
Phone number: