Organization
LUMEN OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ALLEN (PRIVACY OFFICER)
(801) 316-5508
Entity
Organization
Contact information
Practice address
261 W DATA DR, DRAPER, UT 84020-2372
(801) 316-5508
Mailing address
655 W GRAND AVE, UNIT 130, ELMHURST, IL 60126-1060
(801) 316-5508
(801) 316-7529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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