Optical Illusions Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL ILLUSIONS INC

Practice address

3160 E 17TH St
Suite 150
Ammon, ID 83406-6717

Phone

(208) 528-7844

Fax

(208) 528-9473

NPI assigned

Apr 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Neddo

Title

Owner

Phone

(208) 528-7844

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255452843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 E 17TH ST",
            "address_2": "SUITE 150",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066717",
            "telephone_number": "208-528-7844",
            "fax_number": "208-528-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 E 17TH ST",
            "address_2": "SUITE 150",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066717",
            "telephone_number": "208-528-7844",
            "fax_number": "208-528-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ILLUSIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEDDO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-528-7844"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Norman, NP
• Devin Taylor Norton
• Alannah Nunez
• John L Oakley, LPC
• Emily N Oe, LCPC
• Emily Ordonez
• Mason Dale Orton, DPT
• Elizabeth Osterman, PA-C
• Valerie Ann P'Pool, LCSW
• Jace Reed Parker, LSW

• Eyewear Supplier in Ammon, ID
• Providers in Ammon, ID by specialty
• Eyewear Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.