Healthcare Provider Details

I. General information

NPI: 1851227565
Provider Name (Legal Business Name): LUNA OPTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 KING ARTHUR CT
NORTHLAKE IL
60164-2716
US

IV. Provider business mailing address

20 KING ARTHUR CT
NORTHLAKE IL
60164-2716
US

V. Phone/Fax

Practice location:
  • Phone: 630-670-5572
  • Fax:
Mailing address:
  • Phone: 630-670-5572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MARISOL LUNA
Title or Position: OWNER
Credential:
Phone: 630-670-5572