Provider Demographics
NPI:1205647294
Name:LORBER LENSES LLC
Entity type:Organization
Organization Name:LORBER LENSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LORBER
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:847-609-2064
Mailing Address - Street 1:344 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022-1554
Mailing Address - Country:US
Mailing Address - Phone:847-786-4015
Mailing Address - Fax:224-481-4015
Practice Address - Street 1:344 PARK AVE
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:IL
Practice Address - Zip Code:60022-1554
Practice Address - Country:US
Practice Address - Phone:847-786-4015
Practice Address - Fax:224-481-4015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty