Optical Illusions Inc

NPI 1255452843 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1255452843
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA LINDA
Position OWNER
Phone (208) 528-7844
Fax (208) 528-9473
Practice Location
3160 E 17TH ST
SUITE 150
AMMON ID, 83406-6717, US
Phone (208) 528-7844
Fax (208) 528-9473
Business Location
3160 E 17TH ST
SUITE 150
AMMON ID, 83406-6717, US
Phone (208) 528-7844
Fax (208) 528-9473
Toxanomy
Taxonomy Code 332H00000X
License State
License Number
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According to our database, Optical Illusions Inc NPI is 1255452843, taxonomy code is 332H00000X Optical Illusions Inc physically located at 3160 E 17th St, Ammon ID, 83406-6717. NPI Number 1033115704 has the healthcare provider type.

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1255452843 NPI number is provided on an as is basis without warranty of any kind. 1255452843 is maintained by the National Plan & Provider Enumeration System. The contents of Optical Illusions Inc are for informational purposes only.