An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI # | 1134252711 |
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| LBN Legal business name | ILLUSIONS EYEWEAR LLC | ||||||||||||
| Authorized official | TOMMIE BLAN - (OPTICIAN OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/13/2007 | ||||||||||||
| Last updated | 06/11/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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