Individual
AUBREY D BREITHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(623) 806-7689
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(623) 806-7689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011759
IL
152W00000X
Optometrist
8670T
TX
152WP0200X
Pediatric Optometrist
4901004831
MI
152WP0200X
Pediatric Optometrist
8670T
TX
152WV0400X
Vision Therapy Optometrist
046011759
IL
152WV0400X
Vision Therapy Optometrist
4901004831
MI
152WV0400X
Vision Therapy Optometrist
8670T
TX
Other
Enumeration date
07/13/2014
Last updated
03/17/2026
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