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MERCER BEAUTY SUPPLY NPI 1053506121


NPI Information

NPI: 1053506121
Provider Name: MERCER BEAUTY SUPPLY
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1016 SW D AVE
LAWTON, OK
ZIP 73501
Phone: (580) 353-0690
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MERCER BEAUTY SUPPLY is a prosthetic orthotic supplier in Lawton, OK. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MERCER BEAUTY SUPPLY NPI is 1053506121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1016 SW D AVE
LAWTON, OK
ZIP 73501
Phone: (580) 353-0690

The provider's authorized official is Iva L Black .
The authorized official title is Owner and has the following contact phone number (580) 353-0690.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 7/16/2008.


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
1225000000XOrthotic Fitter22498 001OKLAHOMANo
2335E00000XProsthetic/Orthotic Supplier22498 001OKLAHOMAYes

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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