Custom Ocular Prosthetics, Inc.

LBN: Custom Ocular Prosthetics, Inc.
Custom Ocular Prosthetics, Inc. is an health care organization with primary practice located at 9465 E Harrison Pl , Tucson AZ 85710-6613. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Custom Ocular Prosthetics, Inc. can be contacted via phone (520) 722-7471, or through Ward, James R. via phone (520) 722-7471.

Contact Information

Primary practice address
9465 E Harrison Pl Tucson AZ 85710-6613
Phone: (520) 722-7471
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, James R. OCULARIST
Phone: (520) 722-7471

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X NOT REQUIRED BY STAT Arizona

Profile Details

NPI number 1407047319
LBN Legal business name Custom Ocular Prosthetics, Inc.
DBA Doing business as
Authorized official Ward, James R. OCULARIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Feb 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407047319 NPPES
Arizona MEDICAID 309543

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