Healthcare Provider Details

I. General information

NPI: 1558291211
Provider Name (Legal Business Name): FRAME AND FOCUS OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10914 ELM ST
OMAHA NE
68144-4822
US

IV. Provider business mailing address

10914 ELM ST
OMAHA NE
68144-4822
US

V. Phone/Fax

Practice location:
  • Phone: 402-543-3786
  • Fax:
Mailing address:
  • Phone: 402-543-3786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: OWEN AMENTA
Title or Position: OWNER
Credential:
Phone: 402-543-3786