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BOSTON OCULAR PROSTHETICS INC NPI 1982106548


NPI Information

NPI: 1982106548
Provider Name: BOSTON OCULAR PROSTHETICS INC
Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
15 LOWELL ST
PORTLAND, ME
ZIP 04102
Phone: (800) 824-2492
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BOSTON OCULAR PROSTHETICS INC is an anaplastologist in Portland, ME. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). BOSTON OCULAR PROSTHETICS INC NPI is 1982106548. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15 LOWELL ST
PORTLAND, ME
ZIP 04102-726
Phone: (800) 824-2492
Fax: (877) 824-2413

The provider's authorized official is Kaylee Lizabeth Dougherty .
The authorized official title is President and has the following contact phone number (800) 824-2492.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 5/6/2020.


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/TechnologistOcularistNo
2229N00000XAnaplastologistYes

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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