La Fuente Prosthetics

LBN: La Fuente Ocular Prosthetics Llc
La Fuente Prosthetics is an health care organization with primary practice located at 1116 N Robinson Ave , Oklahoma City OK 73103-4918. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Dialysis Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. La Fuente Ocular Prosthetics Llc can be contacted via phone (405) 236-2882, or through La Fuente, Brandon Ray via phone (405) 236-2882.

Contact Information

Primary practice address
1116 N Robinson Ave Oklahoma City OK 73103-4918
Phone: (405) 236-2882
Fax: (405) 236-3335
Website:
Map and Directions
Authorized official contact:
Name: La Fuente, Brandon Ray OCULARIST
Phone: (405) 236-2882

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1811194368
LBN Legal business name La Fuente Ocular Prosthetics Llc
DBA Doing business as La Fuente Prosthetics
Authorized official La Fuente, Brandon Ray OCULARIST
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Apr 2nd, 2012 - about 12 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 1811194368 NPPES
Oklahoma MEDICAID 100807050A
Oklahoma Other 1114193604
Oklahoma Other 348742200
Oklahoma Other 100450270A
Oklahoma Other 1679520423
Oklahoma Other 100450270B

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