FREDERICK CUSTOMEYEZ PROSTHETICS LLC NPI 1912440843

NPI Information

  • NPI: 1912440843
  • Provider Name: FREDERICK CUSTOMEYEZ PROSTHETICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 1422 EUCLID AVE
    SUITE 802
    CLEVELAND, OH
    ZIP 44115
  • Phone: (401) 584-3939

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NPI Details

FREDERICK CUSTOMEYEZ PROSTHETICS LLC is a prosthetic orthotic supplier in Cleveland, OH. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. FREDERICK CUSTOMEYEZ PROSTHETICS LLC NPI is 1912440843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1422 EUCLID AVE
SUITE 802
CLEVELAND, OH
ZIP 44115-902
Phone: (401) 584-3939

The provider's authorized official is Melissa Frederick .
The authorized official title is Ocularist/owner and has the following contact phone number (401) 584-3939.

The enumeration date for this NPI number is 11/26/2016 and was last updated on 7/3/2025.

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/TechnologistOcularistNo
2335E00000XProsthetic/Orthotic SupplierO.24OHIOYes

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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