Lewis, Luis C

Lewis, Luis C is an individual health care provider with primary practice located at 329 W 18Th St #311, Chicago IL 60616-1120. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lewis, Luis C can be contacted via phone (312) 929-3340.

Contact Information

Primary practice address
329 W 18Th St #311 Chicago IL 60616-1120
Phone: (312) 929-3340
Fax: (312) 929-3341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009794 Illinois

Profile Details

NPI number 1437142973
LBN Legal business name Lewis, Luis C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437142973 NPPES
Illinois MEDICAID 046009794

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