NPI Profile for CUSTOM OCULAR PROSTHETICS INC in ALPHARETTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X | |||
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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CUSTOM OCULAR PROSTHETICS INC
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