Illusions Eyewear Llc in Omaha - Optometrist
Illusions Eyewear Llc - NPI 1134252711
Illusions Eyewear Llc is a Optometrist in Omaha, Nebraska. Illusions Eyewear Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Illusions Eyewear Llc is 1134252711. The last update date is 2008-06-11.
Illusions Eyewear Llc's current location address is 8616 N 30th St, Omaha, Nebraska. You can contact this provider via phone number 4024511717 and fax number 4024513469. The mailing address for Illusions Eyewear Llc is 8616 N 30th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illusions Eyewear Llc |
|---|---|
| Address | 8616 N 30th St, Omaha, Nebraska |
| Phone Number | 4024511717 |
| Fax Number | 4024513469 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTICIAN O |
|---|---|
| Authorized Official Name | Blan Lee Tommie |
| Telephone Number | 4024511717 |
NPI Number Detail
| NPI Number | 1134252711 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 8616 N 30th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681121808 |
| Phone Number | 4024511717 |
| Fax Number | 4024513469 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NA1057 | PTAN | ||
| 10025369100 | NE | -- | |
| 17542 | NE | -- |
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What is the Illusions Eyewear Llc's 1134252711?
The Illusions Eyewear Llc's NPI (National Provider Identifier) Number is 1134252711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Illusions Eyewear Llc's physical address?
The Illusions Eyewear Llc is physically located at 8616 N 30Th St, in the city of Omaha, NE, with the postal code 681121808.
What is Illusions Eyewear Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Illusions Eyewear Llc's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When was the Illusions Eyewear Llc's 1134252711 issued?
The Illusions Eyewear Llc's 1134252711 was issued on 2007-03-13.
When was the Illusions Eyewear Llc's information last updated?
The Illusions Eyewear Llc's information was last updated on 2008-06-11.