Organization
EYE CARE CENTER OF LAKE COUNTY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LECLAIR (PRACTICE ADMIN)
(847) 244-1657
Entity
Organization
Contact information
Practice address
310 S GREENLEAF ST STE 212, GURNEE, IL 60031-5708
(847) 244-1657
(847) 244-5122
Mailing address
310 S GREENLEAF ST STE 212, GURNEE, IL 60031-5708
(847) 244-1657
(847) 244-5122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046007910
IL
152W00000X
Optometrist
046009099
IL
207W00000X
Ophthalmology Physician
036067575
IL
207W00000X
Ophthalmology Physician
036135571
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915265
BLUE CROSS - BLUE SHIELD
IL
Enumeration date
04/17/2007
Last updated
01/14/2026
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