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LAKE STREET OPTICAL
NPI 1760702963
Optometrist in Aurora, IL

Active since June 10, 2010
1036 N LAKE ST, AURORA, IL 60506(630) 892-0244(630) 947-0419 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Street Optical NPPES

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

LAKE STREET OPTICAL (NPI 1760702963) is a healthcare organization registered as an optometrist in Aurora, Illinois and active in the NPI registry since June 2010. The organization lists David D Dewaard, Owner, as its authorized official.

NPPES Registry Identity

NPI1760702963
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKE STREET OPTICAL
Location Address1036 N LAKE STAurora, IL 60506-2467
Mailing Address1036 N Lake StAurora, IL 60506-2467 · (630) 892-0244 · Fax (630) 947-0419
Phone(630) 892-0244
Fax(630) 947-0419
Organization SubpartNo
Authorized OfficialDavid D DewaardOwner · (630) 892-0244
Enumeration DateJune 10, 2010
✔ NPI 1760702963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 04607174
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.
1036 N LAKE ST, Aurora, IL 60506
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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 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 Lake Street Optical's NPI number?

The NPI number for Lake Street Optical is 1760702963. It was assigned to this organization in the NPPES registry on June 10, 2010.

Where is Lake Street Optical located?

Lake Street Optical is located at 1036 N Lake St, Aurora, IL 60506. The listed phone number is (630) 892-0244.

What is Lake Street Optical'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 Lake Street Optical was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.