MR. ERIK KOLBERG BCO NPI 1912404609

NPI Information

  • NPI: 1912404609
  • Provider Name: MR. ERIK KOLBERG, BCO
  • Classification: Technician/Technologist - 156FX1700X
  • Specialization: Ocularist
  • Entity Type: Individual
  • Address: 9663 TIERRA GRANDE ST STE 201
    SAN DIEGO, CA
    ZIP 92126
  • Phone: (858) 695-2021

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NPI Details

MR. Erik Kolberg, BCO 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. MR. Erik Kolberg, BCO NPI is 1912404609. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9663 TIERRA GRANDE ST STE 201
SAN DIEGO, CA
ZIP 92126-570
Phone: (858) 695-2021
Fax: (858) 695-2712

The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/9/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164466488MEDICAIDCALIFORNIA

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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