ILLUSIONS EYEWEAR LLC


Address: 8616 N 30th St, Omaha, NE 68112-1808
Phone: 4024511717

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025369100 05
NE 017542 05
PTAN NA1057 01

Office Location

Street Address 8616 N 30TH ST
City OMAHA
State NE
Zip Code 68112-1808

Providers in the same location

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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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

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
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City OMAHA
Zip Code 68112

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Dataset Information

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.

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