IndividualActive
Julian Lara, COA
NPI 1205354883 · Ophthalmic Assistant · Bolingbrook, IL
Provider details
- NPI number
- 1205354883
- Entity type
- Individual
- Primary specialty
- Ophthalmic AssistantEye and Vision Services Providers
- Credential
- COA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 E Boughton Rd Ste 120
Bolingbrook, IL 60440-2193
Phone: (630) 783-9960
Street-level locationGet directions
Mailing address
9813 S Keeler Ave Apt D
Oak Lawn, IL 60453-3474
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.