Illusions Eyewear Llc
LBN: Illusions Eyewear Llc
Illusions Eyewear Llc is an health care organization with primary practice located at 8616 N 30Th St , Omaha NE 68112-1808. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Illusions Eyewear Llc can be contacted via phone (402) 451-1717, or through Blan, Tommie Lee via phone (402) 451-1717.
Contact Information
Primary practice address
8616 N 30Th St
Omaha NE 68112-1808
Phone: (402) 451-1717
Fax: (402) 451-3469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1134252711 |
|---|---|
| LBN Legal business name | Illusions Eyewear Llc |
| DBA Doing business as | |
| Authorized official | Blan, Tommie Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jun 11th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134252711 | NPPES |
| Other | NA1057 | PTAN | |
| MEDICAID | 10025369100 | PTAN | |
| MEDICAID | 017542 | PTAN |
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