FAIRBANKS OCULAR PROSTHETICS, INC.; NPI #1700816949

Contact Information

FAIRBANKS OCULAR PROSTHETICS, INC.

1720 WEST END AVE
SUITE 402
NASHVILLE, TN 37203

Phone: 615-322-9940
Fax: 615-320-0970
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ocularist	156FX1700X

Indicates primary specialty

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NPI Profile & details for FAIRBANKS OCULAR PROSTHETICS, INC.

NPI Number 1700816949

LBN Legal business name FAIRBANKS OCULAR PROSTHETICS, INC.

Authorized official STEPHEN SANDERS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/04/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

TN	License #	05-311-11
KY	Medicaid	90262916
TN	Medicaid	1452191

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FAIRBANKS OCULAR PROSTHETICS, INC.

Contact Information

Specialty

Ocularist

NPI Profile & details for FAIRBANKS OCULAR PROSTHETICS, INC.

Reviews for FAIRBANKS OCULAR PROSTHETICS, INC.