Custom Ocular Prosthetics Inc

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

CUSTOM OCULAR PROSTHETICS INC

Practice address

401 S Main St
Suite B6
Alpharetta, GA 30009-1974

Phone

(770) 667-1166

Fax

(770) 667-1188

NPI assigned

Dec 13, 2007

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Louis Alcorta I, BCO

Title

Owner

Phone

(559) 940-1189

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William T Cox, B.C.O.

  • Customized Equipment (DME)
  • Alpharetta, GA
  • NPI 1720127590
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1477736353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE B6",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091974",
            "telephone_number": "770-667-1166",
            "fax_number": "770-667-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE B6",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091974",
            "telephone_number": "770-667-1166",
            "fax_number": "770-667-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM OCULAR PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ALCORTA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-940-1189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00062048A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deondra Curry, LPC
• Breanna Curtin, MS, NCC, APC
• Amy Curtis, LCSW, CEAP
• Brendon Anthon Curtis, M.D.
• Maria Custer
• Selig Abraham Cynman, M.D.
• Cytometry Specialists, Inc.
• D & C Medical Diagnostic Services, LLC
• D.a.H. Best Healthcare Services and Consulting LLC
• Mary Genevieve D'Agostino, CRNA

• Technician/Technologist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Technician/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.