OrganizationActive
Lake Street Optical
NPI 1760702963 · Optometrist · Aurora, IL
Lake Street Optical is a Optometrist organization in Aurora, IL (NPI 1760702963).
Provider details
- NPI number
- 1760702963
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Dewaard, Owner(630) 892-0244
- License
- 04607174 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1036 N Lake St
Aurora, IL 60506-2467
Phone: (630) 892-0244
Fax: (630) 947-0419
Street-level locationGet directions
Mailing address
1036 N Lake St
Aurora, IL 60506-2467
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Frequently asked questions
- What is Lake Street Optical's NPI number?
- Lake Street Optical's National Provider Identifier (NPI) is 1760702963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Street Optical?
- Lake Street Optical is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Lake Street Optical located?
- Lake Street Optical's practice location on file with NPPES is 1036 N Lake St, Aurora, IL 60506-2467.
- What is Lake Street Optical's phone number?
- The practice phone number listed in the NPPES registry for Lake Street Optical is (630) 892-0244.
- Who is the authorized official for Lake Street Optical?
- The authorized official listed on Lake Street Optical's NPPES record is David Dewaard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Street Optical's NPI active?
- Yes — Lake Street Optical's NPI (1760702963) is active in the NPPES registry as of the last update on 2010-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.