Organization · NPI-2
Advanced Artificial Eyes
Technician/Technologist, Ocularist · Woodland Hills, CA
NPI number1053775502
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1053775502
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Artificial Eyes
- Organization subpart
- No
- Enumeration date
- Apr 11, 2016
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1700X | Technician/Technologist, Ocularist | – | – | Yes |
| 224P00000X | Prosthetist | – | – | |
| 229N00000X | Anaplastologist | – | – |
Other names
- John Stolpe, B.C.O. (Former Legal Business Name)
Practice location
21112 Ventura BlvdWoodland Hills, CA 91364-2103
Phone 818-758-1666 · Fax 818-758-1786
Mailing address
21112 Ventura BlvdWoodland Hills, CA 91364-2103
Phone 818-758-1666 · Fax 818-758-1786
Other practice locations
18455 Burbank Blvd Suite 202
Tarzana, CA 91356-2802
Tarzana, CA 91356-2802
Phone 818-758-1666 · Fax 818-758-1786
Authorized official
John Matthew Stolpe
Board Certified Ocularist, Board Ap
8187581666
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