Organization
THUNDERCLOUD OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ELLIS (PRESIDENT)
(402) 613-3776
Entity
Organization
Contact information
Practice address
8838 WASHINGTON CIR, OMAHA, NE 68127-4011
(844) 978-0631
(844) 978-0632
Mailing address
8838 WASHINGTON CIR, OMAHA, NE 68127-4011
(844) 978-0631
(844) 978-0632
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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