Lake Optical, Inc. is a
Optometrist based in Fox Lake, Illinois. Lake Optical, Inc. is licensed to practice in Illinois (license number 046007480) and their current practice location is
2 W Grand Ave, Suite107, Fox Lake, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 587-0901.
NPI number for Lake Optical, Inc. is 1235140138 and their current mailing address is 2 W Grand Ave, Suite107, Fox Lake, Illinois. Lake Optical, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1235140138.
Healthcare Provider's Profile
Full Name | Lake Optical, Inc. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 2 W Grand Ave, Fox Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235140138
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/20/2010
Medical Identifiers
Medical identifiers for Lake Optical, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235140138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046007480 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Optical, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
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 |
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