Organization
OPTICAL ILLUSIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NEDDO (OWNER)
(208) 528-7844
Entity
Organization
Contact information
Practice address
3160 E 17TH ST, SUITE 150, AMMON, ID 83406-6717
(208) 528-7844
(208) 528-9473
Mailing address
3160 E 17TH ST, SUITE 150, AMMON, ID 83406-6717
(208) 528-7844
(208) 528-9473
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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