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Lake Street Optical

Optometrist in Aurora, IL · enumerated 2010 · authorized official David Dewaard, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760702963

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Street Optical
Practice address 1036 N Lake St, Aurora, IL, 60506
Fax (630) 947-0419
Enumeration date Jun 10, 2010
Last updated in NPPES Jun 10, 2010

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 04607174 (IL) Primary

Authorized official

Name David Dewaard
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Street Optical?
NPPES lists David Dewaard (Owner) as the authorized official for this organization.
What is the NPI number for Lake Street Optical?
The NPI for Lake Street Optical is 1760702963, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-10.