Illusions Eyewear LLC

NPI #1134252711 in Omaha, Nebraska

Provider Information

NPI Number
1134252711
Entity Type
Organization
Organization Name
Illusions Eyewear LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 13, 2007
Last Updated
Jun 11, 2008

Practice Location

Address
8616 N 30TH ST
City
Omaha
ZIP Code
68112-1808
Phone
(402) 451-1717

Authorized Official

Name
MR. TOMMIE LEE BLAN JR.
Title
OPTICIAN OWNER
Phone
(402) 451-1717

Specialties & Taxonomy Codes

Specialty
Optometrist
Eyewear Supplier

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