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ALLOPLASTIC RECONSTRUCTION NPI 1598049744


NPI Information

NPI: 1598049744
Provider Name: ALLOPLASTIC RECONSTRUCTION
Classification: Technician/Technologist - 156FX1700X
Entity Type: Organization

Specialization: Ocularist

Address:
3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 265-0100
Get Directions

ALLOPLASTIC RECONSTRUCTION is an ocularist technician technologist in Little Rock, AR. 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. ALLOPLASTIC RECONSTRUCTION NPI is 1598049744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205-528
Phone: (501) 265-0100
Fax: (501) 265-0102

The provider's authorized official is Michael Kaczkowski .
The authorized official title is President and has the following contact phone number (501) 265-0100.

The enumeration date for this NPI number is 10/6/2011 and was last updated on 9/26/2018.


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
1229N00000XAnaplastologistNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3174400000XSpecialistNo
4335E00000XProsthetic/Orthotic SupplierOPP00038ARKANSASNo
5156FX1700XTechnician/TechnologistOcularistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.