LAKE STREET OPTICAL

AURORA, IL
NPI1760702963
Entity TypeOrganization
Authorized ContactDAVID D DEWAARD
Owner
630-892-0244
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  04607174)
Enumeration Date2010-06-10
Last Update Date2010-06-10
Business Address
LAKE STREET OPTICAL
1036 N LAKE ST
AURORA, IL 60506-2467
Phone number: 630-892-0244
Mailing Address
LAKE STREET OPTICAL
1036 N LAKE ST
AURORA, IL 60506-2467
Phone number: 630-892-0244
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