Maloney'S Custom Ocular Prosthetics, Inc.

Primary specialty

OcularistTaxonomy code 156FX1700X

License

2002801 Issued in OR

Legal business name

MALONEY'S CUSTOM OCULAR PROSTHETICS, INC.

Practice address

4500 Kruse Way Ste 300
Lake Oswego, OR 97035-2563

Phone

(503) 675-1320

NPI assigned

Jan 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lexi Schou

Title

Practice Manager

Phone

(503) 675-1320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maloney's Ocular Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Schou, B.C.O.

  • Ocularist
  • Eugene, OR
  • NPI 1649379280
  NPD
• Maureen Maloney-Schou, B.C.O.

  • Ocularist
  • Lake Oswego, OR
  • NPI 1801988373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1043360977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 KRUSE WAY STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352563",
            "telephone_number": "503-675-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 KRUSE WAY STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352563",
            "telephone_number": "503-675-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONEY'S CUSTOM OCULAR PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHOU",
        "authorized_official_first_name": "LEXI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-675-1320"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": "OR",
            "license": "2002801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maloney's Ocular Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Car Makowichuk, LPC, LMHC
• Aleksey Maksimov
• Shah N Malik, R.PH.
• Melinda Rose Mallek, LMT
• Maureen Maloney-Schou, B.C.O.
• Manami Yamaguchi DMD LLC
• Aubrey Mann, MS SLP-CCC
• Philip C Mann, DDS, MD
• Tyler Manson, DPM
• Christopher Michael Manuel, DNP

• All providers in Lake Oswego, OR
• Ocularist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.