OCULAR PROSTHETICS LAB INC (NPI# 1750500930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750500930 |
| Entity Type | Organization |
| Organization Name | OCULAR PROSTHETICS LAB INC |
| Practice Address |
36 W Illiana St Orlando FL 32806-4434 |
| Practice Telephone | 4072465451 |
| Practice Fax Number | 4072460222 |
| Mailing Telephone | 4072465451 |
| Mailing Fax Number | 4072460222 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | MR. JAMES RICHARD BOWEN JR. (PRESIDENT) |
| Authorized Official Telephone | 4072465451 |
| Authorized Official Credential | B.C.O., B.A.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | NA691 | 01 |
| FL | BCBS FL | M2133 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942429154 | Ocular Prosthetics Lab Inc | Prosthetic/Orthotic Supplier | 2845 N Harbor City Blvd Ste 2-3, Melbourne, FL 32935-6217 | 2007-04-25 |
| Street Address |
36 W ILLIANA ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053423699 | James Richard Bowen Jr. | Technician/Technologist | 36 W Illiana St, Orlando, FL 32806-4434 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1306376355 | Orthotics Center Inc. | Prosthetic/Orthotic Supplier | 1405 S Orange Ave Ste 308, Orlando, FL 32806-2147 | 2017-06-13 |
| 1184099798 | Joyce's Wig Villa Inc | Prosthetic/Orthotic Supplier | 4992 E Colonial Dr, Orlando, FL 32803-4312 | 2015-12-08 |
| 1376556670 | Abc Prosthetics & Orthotics of Winter Park, Inc. | Prosthetic/Orthotic Supplier | 2909 N Orange Ave Ste 108, Orlando, FL 32804-4639 | 2006-08-15 |
| 1538186580 | Nordstrom Inc | Prosthetic/Orthotic Supplier | 8001 S Orange Blossom Trl # 801, Orlando, FL 32809-7654 | 2006-07-16 |
| 1649274556 | Mobile Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 3160 Southgate Commerce Blvd, Ste 38, Orlando, FL 32806-8549 | 2005-06-08 |
| 1831610104 | Pca Rx Group LLC | Prosthetic/Orthotic Supplier | 9318 E Colonial Dr, Orlando, FL 32817-4100 | 2017-06-27 |
| 1962953711 | Florida Home Health Equipment and Supplies, Inc | Prosthetic/Orthotic Supplier | 22 W Underwood St, 3rd Floor, Orlando, FL 32806-1110 | 2016-10-17 |
| 1558612135 | Lawall P & O of Florida, Inc. | Prosthetic/Orthotic Supplier | 6535 Nemours Parkway, 5th Floor, Orlando, FL 32827-7402 | 2012-09-24 |
| 1790970887 | Florida Hospital | Prosthetic/Orthotic Supplier | 2501 N Orange Ave, Suite 183, Orlando, FL 32804-4603 | 2007-09-11 |
| Find all providers in ORLANDO | ||||
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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.