ILLUSIONS EYEWEAR LLC (NPI# 1134252711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134252711 |
Entity Type | Organization |
Organization Name | ILLUSIONS EYEWEAR LLC |
Practice Address |
8616 N 30th St Omaha NE 68112-1808 |
Practice Telephone | 4024511717 |
Practice Fax Number | 4024513469 |
Mailing Telephone | 4024511717 |
Mailing Fax Number | 4024513469 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2008-06-11 |
Authorized Official Name | MR. TOMMIE LEE BLAN JR. (OPTICIAN OWNER) |
Authorized Official Telephone | 4024511717 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025369100 | 05 | |
NE | 017542 | 05 | |
PTAN | NA1057 | 01 |
Street Address |
8616 N 30TH ST |
City | OMAHA |
State | NE |
Zip Code | 68112-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386777860 | Tommie L Blan Jr. | Technician/Technologist | 8616 N 30th St, Omaha, NE 68112-1808 | 2007-03-13 |
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---|---|---|---|---|
1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
1780614156 | Shirley Lynn Miller | Pediatrics | 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 | 2006-07-03 |
1083655435 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7312 N 30th St, Omaha, NE 68112 | 2006-06-09 |
1841798477 | Hinners Geriatric Medicine, LLC | Internal Medicine | 7915 N 30th St, Omaha, NE 68112 | 2018-01-29 |
1619143591 | Kimberly Gene Krajewski Clark | Counselor | 6720 N 30th St, Heartland Family Service, Omaha, NE 68112 | 2008-05-01 |
1992864045 | Heartland Family Service | Clinic/Center | 6720 N 30th St, Omaha, NE 68112 | 2006-12-06 |
1073927885 | Jordan Hodges | Physical Therapy Assistant | 12502 Ponca Rd, Omaha, NE 68112-1028 | 2014-06-19 |
1962589762 | Ponca Hills Volunteer Fire Department | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2006-11-01 |
1942676648 | Ponca Hills Fire District | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2015-08-17 |
1043851926 | Home Speech LLC | Speech-Language Pathologist | 11317 N Post Rd, Omaha, NE 68112-1218 | 2019-10-02 |
Find all providers in zip 68112 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003462763 | Thundercloud Optical, LLC | Eyewear Supplier (Equipment, not the service) | 8838 Washington Cir, Omaha, NE 68127-4011 | 2019-08-16 |
1659937027 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2802 S 143rd Plz, Omaha, NE 68144-5611 | 2019-05-11 |
1578099024 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 12240 Emmet St, Omaha, NE 68164-4265 | 2017-05-03 |
1477890937 | Arkfeld, Parson, Goldstein, PC | Eyewear Supplier (Equipment, not the service) | 450 Regency Pkwy, Suite 110, Omaha, NE 68114-3764 | 2013-01-03 |
1184941023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10000 California St Ste 269, Omaha, NE 68114-2355 | 2010-05-03 |
1417105701 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1606 South 72nd Street, Omaha, NE 68124 | 2008-08-29 |
1831368133 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 16016 Evans Street, Suite 101, Omaha, NE 68116 | 2008-02-21 |
1043497340 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12500 K Plaza, Omaha, NE 68137-2207 | 2008-01-29 |
1922281427 | Eye Essentials, Inc. | Eyewear Supplier (Equipment, not the service) | 8111 Dodge St Ste 140, Omaha, NE 68114-4115 | 2007-12-07 |
1235326802 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 16959 Evans Plaza, Omaha, NE 68116-8116 | 2007-09-27 |
Find all providers in OMAHA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.