Healthcare Provider Details

I. General information

NPI: 1841182391
Provider Name (Legal Business Name): CLAIRE LUPTON OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N GRAND AVE W
SPRINGFIELD IL
62702-2562
US

IV. Provider business mailing address

121 N GRAND AVE W
SPRINGFIELD IL
62702-2562
US

V. Phone/Fax

Practice location:
  • Phone: 217-528-3233
  • Fax:
Mailing address:
  • Phone: 217-528-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046011999
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: