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La Fuente Ocular Prosthetics Llc
Prosthetic/Orthotic Supplier in Oklahoma City, Oklahoma
NPI 1811194368

La Fuente Ocular Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Oklahoma City, OK. La Fuente Ocular Prosthetics Llc practices in Oklahoma City, OK. The NPI Number for La Fuente Ocular Prosthetics Llc is 1811194368 and holds a License No. (Oklahoma).

The current practice location address for La Fuente Ocular Prosthetics Llc is 1116 N Robinson Ave, Oklahoma City, OK and can be reached out via phone at 405-236-2882 and via fax at 405-236-3335.

Location: 1116 N Robinson Ave, Oklahoma City, OK, 73103-4918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811194368
Provider Name
La Fuente Ocular Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
1116 N Robinson Ave, Oklahoma City, OK, 73103-4918
Phone Number
405-236-2882
Fax Number
405-236-3335
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100807050A 05 OK
1114193604 01 OK NPI GROUP BCBS
348742200 01 OK DOL
100450270A 01 OK KMAP
1679520423 01 OK NPI
100450270B 01 KS KMAP
institution
Provider Business Practice Location Address Details
Address
1116 N Robinson Ave
City
Oklahoma City
State
Oklahoma
Zip
73103-4918
Phone Number
405-236-2882
Fax Number
405-236-3335
person
Provider Business Mailing Address Details
Address
1116 N Robinson Ave
City
Oklahoma City
State
Oklahoma
Zip
73103-4918
Phone Number
405-236-2882
Fax Number
405-236-3335
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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.
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