Optical Illusionz Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL ILLUSIONZ INC

Practice address

5800 Bellaire Blvd
Ste 112
Houston, TX 77081-5537

Phone

(713) 771-7867

Fax

(713) 771-7869

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jonny Fuentes, ABOC

Title

Ceo

Phone

(713) 771-7867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar Fuentes

  • Optician
  • Houston, TX
  • NPI 1003000472
  NPD (past)
• Mita K. Vala, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1851679443
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1508146374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BELLAIRE BLVD",
            "address_2": "STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815537",
            "telephone_number": "713-771-7867",
            "fax_number": "713-771-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BELLAIRE BLVD",
            "address_2": "STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815537",
            "telephone_number": "713-771-7867",
            "fax_number": "713-771-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ILLUSIONZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-771-7867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optic Brothers LLC
• Optic Brothers LLC
• Optic Eyewear Shop LLC
• Optic Vision LLC
• Optical Edge
• Opticas Garcia Inc
• Opticentre PLLC
• Optics Eyecare PLLC
• Optimacore Inc
• Optimal Balance Pharmacy

• Optician in Houston, TX
• Providers in Houston, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.