BRANDON RAY LA FUENTE BCO BADO NPI 1316300163

NPI Information

Brandon Ray La Fuente, BCO, BADO is an ocularist technician technologist in Edmond, OK. 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. Brandon Ray La Fuente, BCO, BADO NPI is 1316300163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2104 BANDIT PT
EDMOND, OK
ZIP 73025-832
Phone: (405) 620-2543

The enumeration date for this NPI number is 3/30/2016 and was last updated on 4/27/2017.

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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