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CALIFORNIA EYE PROSTHETICS INC NPI 1538437835


NPI Information

NPI: 1538437835
Provider Name: CALIFORNIA EYE PROSTHETICS, INC

Doing Business As: DANIEL T. ACOSTA

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

Specialization: Ocularist

Address:
635 C ST
SUITE 502
SAN DIEGO, CA
ZIP 92101
Phone: (619) 235-8950
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CALIFORNIA EYE PROSTHETICS, INC is an ocularist technician technologist in San Diego, 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. CALIFORNIA EYE PROSTHETICS, INC NPI is 1538437835. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Daniel T. Acosta.

The provider's business location address is:

635 C ST
SUITE 502
SAN DIEGO, CA
ZIP 92101-318
Phone: (619) 235-8950

The provider's authorized official is Daniel Thomas Acosta .
The authorized official title is Ocularist and has the following contact phone number (619) 235-8950.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.


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
1156FX1700XTechnician/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ54195YOTHERCALIFORNIABLUE SHIELD
2DXX00002FMEDICAIDCALIFORNIA
30251700001MEDICARE NSCCALIFORNIA

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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