HETZLER OCULAR PROSTHETIC, INC (NPI# 1568467074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568467074 |
| Entity Type | Organization |
| Organization Name | HETZLER OCULAR PROSTHETIC, INC |
| Practice Address |
130 Tri County Pkwy Ste 201 Cincinnati OH 45246-3235 |
| Practice Telephone | 5137716029 |
| Mailing Telephone | 5137716029 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KATHY J HETZLER (PRESIDENT) |
| Authorized Official Telephone | 3175986298 |
| Authorized Official Credential | B.C.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 335E00000X | Prosthetic/Orthotic Supplier | O.11 | OH | Suppliers |
| X | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
0.11 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS | 000000029685 | 01 |
| OH | 2046995 | 05 | |
| KY | 90000902 | 05 | |
| OH | CHOICECARE | A1789 | 01 |
| Street Address |
130 TRI COUNTY PKWY STE 201 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896031 | Millenium Nursing Care LLC | Nursing Care | 130 Tri County Pkwy, Ste 215, Cincinnati, OH 45246-3289 | 2015-11-16 |
| 1952784118 | Goldbuck Usa, LLC | Durable Medical Equipment & Medical Supplies | 130 Tri County Pkwy, Suite 215, Cincinnati, OH 45246-3289 | 2015-07-07 |
| 1124376439 | Millenium Nursing Agency | Home Health | 130 Tri County Pkwy, Cincinnati, OH 45246-3289 | 2012-08-16 |
| 1205974516 | Tri State Ocular Prosthetics, LLC | Technician/Technologist | 130 Tri County Pkwy, Suite 201, Cincinnati, OH 45246-3289 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| 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 |
|---|---|---|---|---|
| 1487277323 | Diamond Laced Medical Wigs | Prosthetic/Orthotic Supplier | 7373 Brookcrest Dr, Cincinnati, OH 45237-3446 | 2020-05-27 |
| 1215289707 | Tri-state Orthopedic Products Inc | Prosthetic/Orthotic Supplier | 6916 Morrison Pl, Cincinnati, OH 45243-3116 | 2012-10-08 |
| 1659608636 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 7801 Montgomery Rd, Cincinnati, OH 45236-4302 | 2009-11-11 |
| 1417116856 | Allusions, Inc | Prosthetic/Orthotic Supplier | 9200 Montgomery Rd Ste 5b, Cincinnati, OH 45242-7758 | 2008-06-02 |
| 1235324732 | Kay's | Prosthetic/Orthotic Supplier | 9051 Colerain Ave, Cincinnati, OH 45251-2401 | 2007-09-09 |
| 1477629111 | J F Rowley Prosthetic & Orthotic Laboratories Inc. | Prosthetic/Orthotic Supplier | 2729 Vine Street, Cincinnati, OH 45219-2036 | 2006-11-27 |
| 1992805980 | Orthopaedic Consultants of Cincinnati Inc | Prosthetic/Orthotic Supplier | 4701 Creek Road, Suite 110, Cincinnati, OH 45242 | 2006-09-22 |
| 1851345243 | R J Rosenberg Orthopedic Lab Inc | Prosthetic/Orthotic Supplier | 3366 Central Pkwy, Cincinnati, OH 45225-2307 | 2006-05-20 |
| 1932198546 | Hhd Corporation | Prosthetic/Orthotic Supplier | 9514 Kenwood Rd, Cincinnati, OH 45242-6181 | 2005-10-17 |
| 1912324534 | Orthotic & Prosthetic Care of Cincinnati | Prosthetic/Orthotic Supplier | 2368 Victory Pkwy, Suite 100, Cincinnati, OH 45206-2859 | 2014-03-20 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
Please comment or provide details below to improve the information on HETZLER OCULAR PROSTHETIC, 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.