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OCULAR PROSTHETICS INC NPI 1619941168


NPI Information

NPI: 1619941168
Provider Name: OCULAR PROSTHETICS INC

Doing Business As: LAVON DRAKE OCULARIST

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

Specialization: Ocularist

Address:
4557 TECHNOLOGY DR
#5
WILMINGTON, NC
ZIP 28405
Phone: (800) 579-6363
Get Directions

OCULAR PROSTHETICS INC is an ocularist technician technologist in Wilmington, NC. 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. OCULAR PROSTHETICS INC NPI is 1619941168. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lavon Drake Ocularist.

The provider's business location address is:

4557 TECHNOLOGY DR
#5
WILMINGTON, NC
ZIP 28405-145
Phone: (800) 579-6363
Fax: (800) 579-6363

The provider's authorized official is Lavon H Drake .
The authorized official title is President Owner and has the following contact phone number (252) 531-3153.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 8/22/2020.


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
1DE2629MEDICAIDSOUTH CAROLINA

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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