INTEGRATED OCULAR PROSTHETICS


Address: 11419 N Fowler Ave, Clovis, CA 93619-9544
Phone: 5596253937

INTEGRATED OCULAR PROSTHETICS (NPI# 1881158210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881158210
Entity Type Organization
Organization Name INTEGRATED OCULAR PROSTHETICS
Practice Address 11419 N Fowler Ave
Clovis
CA 93619-9544
Practice Telephone 5596253937
Practice Fax Number 5596253942
Mailing Telephone 5596253937
Mailing Fax Number 5596253942
Enumeration Date 2019-01-30
Last Update Date 2019-01-30
Authorized Official Name MR. ANTONIO L ALCORTA I (OCULARIST, OWNER)
Authorized Official Telephone 5596253937
Authorized Official Credential BCO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1700X Technician/Technologist
Specialization: Ocularist
Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1324 W Center Ave, Visalia, CA 932915804 5596253937 5596253942

Office Location

Street Address 11419 N FOWLER AVE
City CLOVIS
State CA
Zip Code 93619-9544

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639557655 Esperanza Therapy Services, LLC Community/Behavioral Health 3293 Whiteash, Clovis, CA 93619 2015-05-11
1063828960 Rose Scott Rehabilitation Practitioner 3675 Richmond Avenue, Clovis, CA 93619 2014-07-11
1538458237 Paula Y. Mouanoutoua Pharmacist 1544 N. Cherrylane, Clovis, CA 93619 2011-04-04
1114041795 Anagha Pathak Contractor 776 W Siena Ln, Clovis, CA 93619 2007-03-19
1497742555 Mohammad H Rahman Allergy & Immunology 12365 N Via Tuscania, Clovis, CA 93619 2005-10-04
1285771238 Iulia Vorobchevici Dentist 1305 N Willow Ave, Suite 110, Clovis, CA 93619 2007-01-31
1316194368 Carlo Magno Arriba Paderna Dentist 1627 N Karen Ave, Clovis, CA 93619-0406 2008-08-21
1871952317 Brenda Louise Munoz Physical Therapy Assistant 513 W Prescott Ave, Clovis, CA 93619-0423 2016-02-12
1023277126 Rosa Petrosian Non-emergency Medical Transport (VAN) 2471 Deauville Cir, Clovis, CA 93619-2828 2008-06-03
1831463330 H & A Medical Transportation Non-emergency Medical Transport (VAN) 2471 Deauville Cir, Clovis, CA 93619-2828 2012-02-29
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Taxonomy Information

Taxonomy Code 156FX1700X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ocularist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144795105 Integrated Ocular Prosthetics Inc Technician/Technologist 1324 W. Center Ave, Visalia, CA 93291-5804 2018-10-05
1588139547 Integrated Ocular Prosthetics Inc Technician/Technologist 5340 Elvas Ave Ste 700, Sacramento, CA 95819-2380 2018-10-05
1912404609 Erik Kolberg Technician/Technologist 9663 Tierra Grande St Ste 201, San Diego, CA 92126-4570 2018-04-09
1841321478 John A Kennedy Technician/Technologist 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 2007-03-07
1154498723 Steven R Young Technician/Technologist 411 30th Street, Ste 512, Oakland, CA 94609-3303 2006-11-29
1144304544 Daniel T. Acosta Technician/Technologist 635 C St, Apt. 502, San Diego, CA 92101-5381 2006-10-24
1962977926 Integrated Ocular Prosthetics Inc Technician/Technologist 700 Cass St Ste 126, Monterey, CA 93940-2921 2018-10-05
1609356898 Dylan Bond Technician/Technologist 1736 Professional Dr, Sacramento, CA 95825-2105 2018-08-16
1023500485 Antonio Louis Alcorta I Technician/Technologist 1324 W Center Ave, Visalia, CA 93291 2018-06-01
1609367242 Ricardo Angeles Technician/Technologist 435 N Bedford Dr Ste 411, Beverly Hills, CA 90210-4340 2018-05-18
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Competitor

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City CLOVIS
Zip Code 93619

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Dataset Information

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.

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