CUSTOM OCULAR PROSTHETICS INC (NPI# 1477736353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477736353 |
| Entity Type | Organization |
| Organization Name | CUSTOM OCULAR PROSTHETICS INC |
| Practice Address |
401 S Main St Suite B6 Alpharetta GA 30009-1974 |
| Practice Telephone | 7706671166 |
| Practice Fax Number | 7706671188 |
| Mailing Telephone | 7706671166 |
| Mailing Fax Number | 7706671188 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-10-04 |
| Authorized Official Name | MR. WILLIAM T COX (OWNER) |
| Authorized Official Telephone | 7706671166 |
| Authorized Official Credential | B.C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00062048A | 05 |
| Street Address |
401 S MAIN ST SUITE B6 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470428 | Mindful Sport and Performance | Clinic/Center | 401 S Main St, Alpharetta, GA 30009-1974 | 2020-09-08 |
| 1457724874 | Eunice Momeh | Nurse Practitioner | 401 S Main St, Alpharetta, GA 30009-1974 | 2015-11-06 |
| 1225448178 | Neil D Patel | Internal Medicine | 401 S Main St, Suite A4, Alpharetta, GA 30009-1974 | 2014-04-30 |
| 1437576659 | Spectrum Internal Medicine, LLC | Clinic/Center | 401 S Main St, Suite B3, Alpharetta, GA 30009-1974 | 2014-03-26 |
| 1982941456 | Beverly Jean Tanner | Advanced Practice Midwife | 401 S Main St, Suite B-8, Alpharetta, GA 30009-1974 | 2013-01-03 |
| 1457601312 | Alpharetta Podiatry | Podiatrist | 401 S Main St, Unit A-1, Alpharetta, GA 30009-1974 | 2012-09-18 |
| 1689820748 | Omar Naoulo | Podiatrist | 401 S Main St, Unit A-1, Alpharetta, GA 30009-1974 | 2008-08-08 |
| 1841455094 | Ashish N Kakadia | Dentist | 401 S Main St, Suite B5, Alpharetta, GA 30009-1974 | 2008-07-26 |
| 1396911319 | Kathryn G Botelho | Advanced Practice Midwife | 401 S Main St, Suite B-8, Alpharetta, GA 30004-1974 | 2008-04-30 |
| 1295907863 | Alpharetta Highway Dental Group | Dentist | 401 S Main St, Alpharetta, GA 30004-1974 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114077419 | Implantable Provider Group, Inc | Durable Medical Equipment & Medical Supplies | 11605 Haynes Bridge Road, Suite 200, Alpharetta, GA 30009 | 2007-01-11 |
| 1336653732 | One Journey Enterprise, LLC | Durable Medical Equipment & Medical Supplies | 2440 Old Milton Parkway, Suite 200, Alpharetta, GA 30009 | 2017-11-21 |
| 1730533449 | Still-a-woman LLC. | Durable Medical Equipment & Medical Supplies | 11770 Haynes Bridge Rd, Ste 401, Alpharetta, GA 30009-1966 | 2016-04-19 |
| 1982082525 | Regina Ingram Amell | Durable Medical Equipment & Medical Supplies | 11770 Haynes Bridge Rd, Suite 401 Room 48, Alpharetta, GA 30009-1966 | 2015-05-15 |
| 1114136280 | Comprehensive Therapy Solutions | Durable Medical Equipment & Medical Supplies | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2007-05-22 |
| 1659588630 | Bridging Alliance, LLC | Durable Medical Equipment & Medical Supplies | 3000 Old Alabama Rd, Suite 111, Alpharetta, GA 30022 | 2007-05-17 |
| 1720127590 | William T Cox | Durable Medical Equipment & Medical Supplies | 401 S Main St, Suite B6, Alpharetta, GA 30004-1974 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163228 | Juanetta Barnes | Durable Medical Equipment & Medical Supplies | 2597 Thorngate Way, Acworth, GA 30101-8837 | 2020-08-06 |
| 1952919136 | Aklor Inc | Durable Medical Equipment & Medical Supplies | 2310 Parklake Dr Ne Ste 135, Atlanta, GA 30345-2913 | 2020-07-14 |
| 1285254656 | Kinetic Prosthetics & Medical Supply | Durable Medical Equipment & Medical Supplies | 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA 30141-4963 | 2020-04-25 |
| 1215569843 | Jessi'ca Coley | Durable Medical Equipment & Medical Supplies | 451 Brookview Dr Ste A, Riverdale, GA 30274-7206 | 2020-02-11 |
| 1497387260 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste G, Norcross, GA 30071-3506 | 2020-02-10 |
| 1982248969 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4406 Mercer University Drive, Suite D, Macon, GA 31210-5608 | 2019-11-01 |
| 1548816283 | Daniel Arbuckle | Durable Medical Equipment & Medical Supplies | 2304 Pierce Way, Buford, GA 30519-2293 | 2019-08-16 |
| 1700438587 | Evelyn Ray LLC | Durable Medical Equipment & Medical Supplies | 12570 Lakeside Pkwy, Fayetteville, GA 30215-4002 | 2019-07-12 |
| 1073174603 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Us Highway 80 E Ste 7a, Savannah, GA 31410-2943 | 2019-06-25 |
| 1790258226 | Ariana Sade Jones | Durable Medical Equipment & Medical Supplies | 1015 Casa Dr, Clarkston, GA 30021-1109 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
Please comment or provide details below to improve the information on CUSTOM OCULAR PROSTHETICS INC.
| 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.