ILLUSION HAIR INDUSTRIES LLC
NPI 1467919670
Prosthetic/Orthotic Supplier in Miami, FL

Active since February 23, 2019
540 NW 165TH STREET RD STE 109, MIAMI, FL 33169(954) 471-5170 Get Directions Write a Review

NPPES record last updated: February 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Illusion Hair Industries Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUSION HAIR INDUSTRIES LLC (NPI 1467919670), doing business as Hair Goddess Boutique, is a healthcare organization registered as a prosthetic/orthotic supplier in Miami, Florida and active in the NPI registry since February 2019. The organization lists Olajide A Wilkerson, Manager, as its authorized official.

NPPES Registry Identity

NPI1467919670
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameILLUSION HAIR INDUSTRIES LLC
Location Address540 NW 165TH STREET RD STE 109Miami, FL 33169-6304
Mailing Address2728 Davie Blvd Unit 73Fort Lauderdale, FL 33312-2927 · (954) 471-5170
Organization SubpartNo
Authorized OfficialOlajide A WilkersonManager · (954) 471-5170
Enumeration DateFebruary 23, 2019
NPI 1467919670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
540 NW 165TH STREET RD STE 109, Miami, FL 33169

Other Names 1

Doing Business AsHair Goddess Boutique

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
540 NW 165TH STREET RD STE 109
MIAMI, FL 33169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illusion Hair Industries LLC's NPI number?

The NPI number for Illusion Hair Industries LLC is 1467919670. It was assigned to this organization in the NPPES registry on February 23, 2019. The provider is doing business as Hair Goddess Boutique.

Where is Illusion Hair Industries LLC located?

Illusion Hair Industries LLC is located at 540 NW 165th Street Rd Ste 109, Miami, FL 33169. The listed phone number is (954) 471-5170.

What is Illusion Hair Industries LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Illusion Hair Industries LLC was last updated on February 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.