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Advanced Artificial Eyes
Anaplastologist in Tarzana, California
NPI 1053775502

Advanced Artificial Eyes is an Anaplastologist based in Tarzana, CA. Advanced Artificial Eyes practices in Tarzana, CA. The NPI Number for Advanced Artificial Eyes is 1053775502 and holds a License No. (California).

The current practice location address for Advanced Artificial Eyes is 18455 Burbank Blvd Suite 202, Tarzana, CA and can be reached out via phone at 818-758-1666 and via fax at 818-758-1786.

Location: 18455 Burbank Blvd Suite 202, Tarzana, CA, 91356-2802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053775502
Provider Name
Advanced Artificial Eyes
Credential
Provider Entity Type
Organization
Address
18455 Burbank Blvd Suite 202, Tarzana, CA, 91356-2802
Phone Number
818-758-1666
Fax Number
818-758-1786
Provider Enumeration Date
04/11/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6419480001 05 CA
6419480001 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
18455 Burbank Blvd Suite 202
City
Tarzana
State
California
Zip
91356-2802
Phone Number
818-758-1666
Fax Number
818-758-1786
person
Provider Business Mailing Address Details
Address
18455 Burbank Blvd Suite 202
City
Tarzana
State
California
Zip
91356-2802
Phone Number
818-758-1666
Fax Number
818-758-1786
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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