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Contact Information

EYE CARE CENTER OF LAKE COUNTY, LTD
310 S GREENLEAF ST STE 212
GURNEE, IL60031-5708
 Phone: 847-244-1657
 Fax: 847-244-5122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE CARE CENTER OF LAKE COUNTY, LTD

NPI # 1952526550
LBN Legal business name EYE CARE CENTER OF LAKE COUNTY, LTD
Authorized official ELIZABETH LECLAIR - (PRACTICE ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 01/14/2026 - About 5 months ago
Identifiers
IL License # 036067575
IL License # 036135571
IL License # 046007910
IL License # 046009099
IL Other 04915265 BLUE CROSS - BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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