CUSTOM EYE PROSTHETICS INC NPI 1700952975

NPI Information

  • NPI: 1700952975
  • Provider Name: CUSTOM EYE PROSTHETICS INC
  • Classification: Technician/Technologist - 156FX1700X
  • Specialization: Ocularist
  • Entity Type: Organization
  • Address: 27600 HOOVER RD
    WARREN, MI
    ZIP 48093
  • Phone: (586) 755-6900

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NPI Details

CUSTOM EYE PROSTHETICS INC is an ocularist technician technologist in Warren, 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. CUSTOM EYE PROSTHETICS INC NPI is 1700952975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27600 HOOVER RD
WARREN, MI
ZIP 48093-721
Phone: (586) 755-6900
Fax: (586) 755-8026

The provider's authorized official is Terry Allen Bulgarelli .
The authorized official title is Owner and has the following contact phone number (586) 755-6900.

The enumeration date for this NPI number is 11/28/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1700XTechnician/TechnologistOcularist5001000012MICHIGANYes

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: 11/21/2025

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