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CUSTOM OCULAR PROSTHETICS LLC NPI 1770145138


NPI Information

NPI: 1770145138
Provider Name: CUSTOM OCULAR PROSTHETICS LLC
Classification: Technician/Technologist - 156FX1700X
Entity Type: Organization

Specialization: Ocularist

Address:
10212 5TH AVE NE STE 210
SEATTLE, WA
ZIP 98125
Phone: (206) 522-4222
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CUSTOM OCULAR PROSTHETICS LLC is an ocularist technician technologist in Seattle, WA. The provider is an ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis. CUSTOM OCULAR PROSTHETICS LLC NPI is 1770145138. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10212 5TH AVE NE STE 210
SEATTLE, WA
ZIP 98125-471
Phone: (206) 522-4222
Fax: (206) 525-1496

The provider's authorized official is Brian E Koceski .
The authorized official title is Office Manager and has the following contact phone number (206) 522-4222.

The enumeration date for this NPI number is 7/5/2019 and was last updated on 7/5/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1700XTechnician/TechnologistOcularistYes

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

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