Lumen Optical Illinois 4, Llc is a
Optometrist based in Bucktown, Illinois. Lumen Optical Illinois 4, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2420 N Elston, Bucktown, Illinois. It can be reached at their office (for appointments etc.) via phone at
(801) 316-5508.
NPI number for Lumen Optical Illinois 4, Llc is 1700322922 and their current mailing address is 2420 N Elston, Bucktown, Illinois. Lumen Optical Illinois 4, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700322922.
Healthcare Provider's Profile
| Full Name | Lumen Optical Illinois 4, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 2420 N Elston, Bucktown, 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: 1700322922
- Provider Enumeration Date: 01/11/2017
- Last Update Date: 01/11/2017
Medical Identifiers
Medical identifiers for Lumen Optical Illinois 4, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700322922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | (* (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 4, 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 4, Llc
2420 N Elston,
Bucktown, IL 60647
Ph: (801) 316-5508 | Lumen Optical Illinois 4, Llc
2420 N Elston,
Bucktown, IL 60647
Ph: (801) 316-5508 |
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