Lumen Optical Illinois 1, Llc is a
Optometrist based in Kildeer, Illinois. Lumen Optical Illinois 1, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
20505 Rand Rd, Kildeer, Illinois. It can be reached at their office (for appointments etc.) via phone at
(801) 792-0477.
NPI number for Lumen Optical Illinois 1, Llc is 1497110332 and their current mailing address is 20505 Rand Rd, Suite 500, Kildeer, Illinois. Lumen Optical Illinois 1, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497110332.
Healthcare Provider's Profile
| Full Name | Lumen Optical Illinois 1, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 20505 Rand Rd, Kildeer, 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: 1497110332
- Provider Enumeration Date: 12/18/2015
- Last Update Date: 01/21/2016
Medical Identifiers
Medical identifiers for Lumen Optical Illinois 1, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497110332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | (* (Not Available)) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | (* (Not Available)) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| 156F00000X | Technician/technologist | (* (Not Available)) | Secondary |
| 156FC0800X | Technician/technologist - Contact Lens | (* (Not Available)) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
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. Lumen Optical Illinois 1, Llc 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 |
|---|
Lumen Optical Illinois 1, Llc
20505 Rand Rd, Suite 500,
Kildeer, IL 60047-3004
Ph: () - | Lumen Optical Illinois 1, Llc
20505 Rand Rd,
Kildeer, IL 60047-3004
Ph: (801) 792-0477 |
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