CENTER FOR OCULAR PROSTHETICS LLC NPI 1083994867

NPI Information

NPI: 1083994867
Provider Name: CENTER FOR OCULAR PROSTHETICS LLC

Doing Business As: CHRISTINA LEITZEL

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

Specialization: Ocularist

Address:
2456 NW NORTHRUP ST STE 1A
PORTLAND, OR
ZIP 97210
Phone: (503) 229-8490
Get Directions

CENTER FOR OCULAR PROSTHETICS LLC is an ocularist technician technologist in Portland, OR. 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. CENTER FOR OCULAR PROSTHETICS LLC NPI is 1083994867. The provider is registered as an organization entity type.
The provider Is Doing Business As Christina Leitzel.

The provider's business location address is:

2456 NW NORTHRUP ST STE 1A
PORTLAND, OR
ZIP 97210-253
Phone: (503) 229-8490
Fax: (503) 224-0740

The provider's authorized official is Christina N. Leitzel .
The authorized official title is Ocularist/owner and has the following contact phone number (503) 229-8490.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 7/18/2023.

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	51680289	OREGON	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
3	335E00000X	Prosthetic/Orthotic Supplier		516802-89	OREGON	No
4	156FX1700X	Technician/Technologist	Ocularist			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	01621900001	OTHER	OREGON	REGENCE BCBS DME SUPPLIER
2	01621900001	OTHER	OREGON	REGENCE BCBS
3	500647964	MEDICAID	OREGON
4	01758092-1	OTHER	OREGON	OREGON BUSINESS IDENTIFICATION NUMBER

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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