CUSTOM OCULAR PROSTHETICS INC NPI 1477736353

NPI Information

NPI: 1477736353
Provider Name: CUSTOM OCULAR PROSTHETICS INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
401 S MAIN ST
SUITE B6
ALPHARETTA, GA
ZIP 30009
Phone: (770) 667-1166
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CUSTOM OCULAR PROSTHETICS INC is a customized equipment durable medical equipment medical supplies in Alpharetta, GA. CUSTOM OCULAR PROSTHETICS INC NPI is 1477736353. The provider is registered as an organization entity type.

The provider's business location address is:

401 S MAIN ST
SUITE B6
ALPHARETTA, GA
ZIP 30009-974
Phone: (770) 667-1166
Fax: (770) 667-1188

The provider's authorized official is William T Cox .
The authorized official title is Owner and has the following contact phone number (770) 667-1166.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 10/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0643070001	MEDICARE NSC	GEORGIA
2	00062048A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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