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Custom Ocular Prosthetics Inc
Customized Equipment (DME) in Alpharetta, Georgia
NPI 1477736353

Custom Ocular Prosthetics Inc is a Customized Equipment (DME) based in Alpharetta, GA and is specialized in Customized Equipment. Custom Ocular Prosthetics Inc practices in Alpharetta, GA. The NPI Number for Custom Ocular Prosthetics Inc is 1477736353 and holds a License No. (Georgia).

The current practice location address for Custom Ocular Prosthetics Inc is 401 S Main St, Alpharetta, GA and can be reached out via phone at 770-667-1166 and via fax at 770-667-1188.

Location: 401 S Main St, Alpharetta, GA, 30009-1974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477736353
Provider Name
Custom Ocular Prosthetics Inc
Credential
Provider Entity Type
Organization
Address
401 S Main St, Alpharetta, GA, 30009-1974
Phone Number
770-667-1166
Fax Number
770-667-1188
Provider Enumeration Date
12/13/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
00062048A 05 GA
institution
Provider Business Practice Location Address Details
Address
401 S Main St
City
Alpharetta
State
Georgia
Zip
30009-1974
Phone Number
770-667-1166
Fax Number
770-667-1188
person
Provider Business Mailing Address Details
Address
401 S Main St
City
Alpharetta
State
Georgia
Zip
30009-1974
Phone Number
770-667-1166
Fax Number
770-667-1188
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
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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