# EYE CARE CENTER OF LAKE COUNTY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649307737
- **Authorized official:** ELIZABETH LECLAIR (PRACTICE ADMIN)
- **Authorized official phone:** (847) 244-1657

## Contact information

- **Practice address:** 310 S GREENLEAF ST STE 212, GURNEE, IL 60031-5708
- **Practice address phone:** (847) 244-1657
- **Practice address fax:** (847) 244-1522
- **Mailing address:** 310 S GREENLEAF ST STE 212, GURNEE, IL 60031-5708
- **Mailing address phone:** (847) 244-1657
- **Mailing address fax:** (847) 244-5122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 01/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04915265 | BLUE CROSS - BLUE SHIELD | — |