La Fuente Ocular Prosthetics

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

LA FUENTE OCULAR PROSTHETICS

Practice address

1116 N Robinson Ave
Oklahoma City, OK 73103-4918

Phone

(405) 236-2882

Fax

(405) 236-3335

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Brandon La Fuente

Title

Manager

Phone

(405) 236-2882

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

La Fuente Ocular Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• La Fuente Prosthetics

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1639577885
  NPD tax ID

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1114193604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N ROBINSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731034918",
            "telephone_number": "405-236-2882",
            "fax_number": "405-236-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N ROBINSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731034918",
            "telephone_number": "405-236-2882",
            "fax_number": "405-236-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FUENTE OCULAR PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "LA FUENTE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-236-2882"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4631034873-001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100807050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary M Kyne
• Karen Suzanne Kyte, PA-C
• L and M Investments LLC
• L Dennis Doan, DC, PLLC
• La Farmacia
• La Fuente Ocular Prosthetics LLC
• La Fuente Prosthetics
• La Fuente Specialty Prosthetics,LLC
• Henry La Fuente, BCO, BADO
• Monique La Fuente, OCULARIST

• Other Technician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Other Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.