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Contact Information

CUSTOM OCULAR PROSTHETICS INC
401 S MAIN ST
SUITE B6
ALPHARETTA, GA30009-1974
 Phone: 770-667-1166
 Fax: 770-667-1188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ocularist

156FX1700X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CUSTOM OCULAR PROSTHETICS INC · (Female)

NPI # 1477736353
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2007
Last updated 01/08/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 00062048A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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