ANDERSEN EYE PROSTHETICS LLC NPI 1235510892

NPI Information

ANDERSEN EYE PROSTHETICS, LLC is an ocularist technician technologist in Detroit, MI. 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. ANDERSEN EYE PROSTHETICS, LLC NPI is 1235510892. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4719 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201-423
Phone: (989) 249-1030

The provider's authorized official is Gregory Carmen Hazen .
The authorized official title is Medical Director and has the following contact phone number (989) 249-1030.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 2/24/2016.

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:

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