Lumen Optical Illinois 4, LLC
NPI 1700322922 · Optometrist · Bucktown, IL
Provider details
- NPI number
- 1700322922
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brendon Quarnberg, Privacy Officer(801) 316-5508
Specialties & taxonomies
Eye and Vision Services Providers
- Pediatric Optometrist152WP0200X
Eye and Vision Services Providers
- Vision Therapy Optometrist152WV0400X
Eye and Vision Services Providers
- Occupational Vision Optometrist152WX0102X
Eye and Vision Services Providers
- Technician/Technologist156F00000X
Eye and Vision Services Providers
- Contact Lens Technician/Technologist156FC0800X
Eye and Vision Services Providers
- Contact Lens Fitter156FC0801X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2017-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.