Optical Illusions INC

NPI #1255452843 in Ammon, Idaho

Provider Information

NPI Number: 1255452843
Entity Type: Organization
Organization Name: Optical Illusions INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3160 E 17TH ST
Address 2: SUITE 150
City: Ammon
State: Idaho
ZIP Code: 83406-6717
Phone: (208) 528-7844

Authorized Official

Name: LINDA NEDDO
Title: OWNER
Phone: (208) 528-7844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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