ARIZONA OCULAR PROSTHETICS, LLC (NPI# 1548465248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548465248 |
| Entity Type | Organization |
| Organization Name | ARIZONA OCULAR PROSTHETICS, LLC |
| Practice Address |
3025 S Kenneth Pl Tempe AZ 85282-3942 |
| Practice Telephone | 4802643041 |
| Mailing Telephone | 4802643041 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | ROBERT J BROWN (PRES/OCULARIST) |
| Authorized Official Telephone | 4802643041 |
| Authorized Official Credential | BCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8606 Allisonville Rd, Suite 101, Indianapolis, IN 462505515 | 3175770060 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ARIZONA OCULAR PROSTHETICS, LLC | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 |
| Street Address |
3025 S KENNETH PL |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151241 | Robert James Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
| 1811505795 | Kylie Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151241 | Robert James Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
| 1811505795 | Kylie Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689189656 | Robert Chadd Reynolds | Technician/Technologist | 17740 W Stella Ln, Waddell, AZ 85355-9640 | 2017-12-12 |
| 1972788750 | Bernard Oscar Mares | Technician/Technologist | 3844 N 32nd St, Suite 5, Phoenix, AZ 85018-4928 | 2007-12-30 |
| 1477962660 | Trent T Hadlock | Technician/Technologist | 1355 S Higley Rd Ste 111, Gilbert, AZ 85296-4799 | 2014-08-13 |
| 1730359688 | Allan M. Anhalt | Technician/Technologist | 2122 N Craycroft Rd, Suite 118, Tucson, AZ 85712-2849 | 2008-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.