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

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: July 19, 2026.

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
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 · OpticianTaxonomy 156FX1800X
Also ListedEyewear SupplierTaxonomy 332H00000X
2420 N ELSTON, Bucktown, IL 60647

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

The NPI number assigned to this healthcare provider is 1700322922, enumerated as an "organization" on January 11, 2017.

The provider is located at 2420 N ELSTON BUCKTOWN, IL 60647 and the phone number is (801) 316-5508.

Optometrist with taxonomy code 152W00000X.