KC Ocular and Facial Prosthetics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KC OCULAR AND FACIAL PROSTHETICS

Doing business as

KC OCULAR AND FACIAL PROSTHETICS CO

Practice address

5424 State Ave
Kansas City, KS 66102-3446

Phone

(913) 626-4980

Fax

(913) 423-3221

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Gerard Comeau

Title

President

Phone

(913) 626-4980

Specialties & licenses 1

Addresses

Other names 1

• KC OCULAR AND FACIAL PROSTHETICS CO Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1053196428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023446",
            "telephone_number": "913-626-4980",
            "fax_number": "913-365-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023446",
            "telephone_number": "913-626-4980",
            "fax_number": "913-423-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 NW 9th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731022619",
            "country_code": "US",
            "telephone_number": "913-626-4980",
            "fax_number": "913-423-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 E Lumsden Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116440",
            "country_code": "US",
            "telephone_number": "813-361-8877",
            "fax_number": "913-423-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KC OCULAR AND FACIAL PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "COMEAU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-626-4980"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC OCULAR AND FACIAL PROSTHETICS CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Customized Equipment (DME) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.