Optical Illusions, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL ILLUSIONS, INC.

Practice address

970 Broadway
Thornwood, NY 10594-1139

Phone

(914) 741-2121

Fax

(914) 741-5937

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Kolkmann, OPTICIAN

Title

Owner

Phone

(914) 245-5151

Specialties & licenses 1

Addresses

Other names 1

• Raymond Opticians Doing business as

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1437290756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD, SUITE 203",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-245-5151",
            "fax_number": "914-245-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BROADWAY",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941139",
            "telephone_number": "914-741-2121",
            "fax_number": "914-741-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ILLUSIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "KOLKMANN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-245-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Thornwood, NY
• Providers in Thornwood, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.