LUMEN OPTICAL ILLINOIS 4, LLC
NPI 1700322922
Optometrist in Bucktown, IL

Q: What is Lumen Optical Illinois 4, LLC's NPI number?

The NPI number for Lumen Optical Illinois 4, LLC is 1700322922. It was assigned to this organization in the NPPES registry on January 11, 2017.

Q: What is Lumen Optical Illinois 4, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 11, 2017

2420 N ELSTON, BUCKTOWN, IL 60647(801) 316-5508 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lumen Optical Illinois 4, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMEN OPTICAL ILLINOIS 4, LLC (NPI 1700322922) is a healthcare organization registered as an optometrist in Bucktown, Illinois and active in the NPI registry since January 2017. The organization lists Brendon Dean Quarnberg, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1700322922

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameLUMEN OPTICAL ILLINOIS 4, LLC

Location Address2420 N ELSTONBucktown, IL 60647

Mailing Address2420 N ElstonBucktown, IL 60647 · (801) 316-5508

Phone(801) 316-5508

Organization SubpartNo

Authorized OfficialBrendon Dean QuarnbergPrivacy Officer · (801) 316-5508

Enumeration DateJanuary 11, 2017

✔ NPI 1700322922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X

Also ListedTechnician/TechnologistTaxonomy 156F00000X

Also ListedTechnician/Technologist · Contact LensTaxonomy 156FC0800X

Also ListedTechnician/Technologist · Contact Lens FitterTaxonomy 156FC0801X

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

Also ListedEyewear SupplierTaxonomy 332H00000X

2420 N ELSTON, Bucktown, IL 60647

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lumen Optical Illinois 4, LLC's NPI number?

The NPI number for Lumen Optical Illinois 4, LLC is 1700322922. It was assigned to this organization in the NPPES registry on January 11, 2017.

Where is Lumen Optical Illinois 4, LLC located?

Lumen Optical Illinois 4, LLC is located at 2420 N Elston, Bucktown, IL 60647. The listed phone number is (801) 316-5508.

What is Lumen Optical Illinois 4, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Lumen Optical Illinois 4, LLC was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.