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ADVANCED ARTIFICIAL EYES NPI 1053775502


NPI Information

NPI: 1053775502
Provider Name: ADVANCED ARTIFICIAL EYES

Former Legal Business Name: JOHN STOLPE, B.C.O.

Classification: Technician/Technologist - 156FX1700X
Entity Type: Organization

Specialization: Ocularist

Address:
18455 BURBANK BLVD SUITE 202
TARZANA, CA
ZIP 91356
Phone: (818) 758-1666
Get Directions

ADVANCED ARTIFICIAL EYES is an ocularist technician technologist in Tarzana, CA. 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. ADVANCED ARTIFICIAL EYES NPI is 1053775502. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is John Stolpe, B.c.o..

The provider's business location address is:

18455 BURBANK BLVD SUITE 202
TARZANA, CA
ZIP 91356-802
Phone: (818) 758-1666
Fax: (818) 758-1786

The provider's authorized official is John Matthew Stolpe .
The authorized official title is Board Certified Ocularist, Board Ap and has the following contact phone number (818) 758-1666.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 12/7/2022.


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
1224P00000XProsthetistNo
2229N00000XAnaplastologistNo
3156FX1700XTechnician/TechnologistOcularistYes

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
16419480001MEDICAIDCALIFORNIA
26419480001OTHERCALIFORNIAMEDICARE PTAN

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: 5/5/2024

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