NPI 1255452843
Optical Illusions INC
Practice location
- Address
- 3160 E 17th St Suite 150, Ammon, ID 83406-6717
- Phone
- (208) 528-7844
- Fax
- (208) 528-9473
Authorised official
- Name
- Linda Neddo
- Title
- Owner
- Phone
- (208) 528-7844
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1255452843
- Entity type
- Organization
- NPI issued
- 2 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.