OrganizationActive
Illusion Hair Industries LLC
NPI 1467919670 · Prosthetic/Orthotic Supplier · Miami, FL
Provider details
- NPI number
- 1467919670
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Olajide Wilkerson, Manager(954) 471-5170
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
540 Nw 165th Street Rd Ste 109
Miami, FL 33169-6304
Phone: (954) 471-5170
Street-level locationGet directions
Mailing address
2728 Davie Blvd Unit 73
Fort Lauderdale, FL 33312-2927
Other names (DBA / former)
- Doing business as
- Hair Goddess Boutique
Registry dates
- Enumerated
- 2019-02-23
- Last updated
- 2019-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.