Organization · NPI-2

Arizona Ocular Prosthetics, LLC

Technician/Technologist, Ocularist · Tempe, AZ

NPI number1548465248
StatusActive
Last updated in NPPESJul 17, 2020

Details

NPI
1548465248
Entity type
Organization (NPI-2)
Legal business name
Arizona Ocular Prosthetics, LLC
Organization subpart
No
Enumeration date
Jun 20, 2007
Certification date
Jul 17, 2020
Last updated
Jul 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

3025 S Kenneth Pl
Tempe, AZ 85282-3942

Phone 480-264-3041

Mailing address

3025 S Kenneth Pl
Tempe, AZ 85282-3942

Phone 480-264-3041

Authorized official

Robert J Brown
Pres/Ocularist
4802643041

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