Provider Demographics
NPI:1477890937
Name:ILUMIN, LLC
Entity Type:Organization
Organization Name:ILUMIN, LLC
Other - Org Name:ARKFELD, PARSON, GOLDSTEIN, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THORAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-933-6600
Mailing Address - Street 1:16820 FRANCES ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2391
Mailing Address - Country:US
Mailing Address - Phone:402-933-6600
Mailing Address - Fax:402-933-7127
Practice Address - Street 1:450 REGENCY PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3764
Practice Address - Country:US
Practice Address - Phone:402-933-6600
Practice Address - Fax:402-933-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier