NPI 1073002838

Lucem LLC

Organisation Optometrist Loves Park, IL

Practice location

Address: 6256 E Riverside Blvd, Loves Park, IL 61111-4418
Phone: (815) 708-7083
Fax: (815) 904-6294

Authorised official

Name: Ashley a Meier
Title: Office Manager
Phone: (815) 708-7083

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046007443 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1073002838
Entity type: Organization
NPI issued: 8 May 2018
Record last updated: 8 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.