Arizona Ocular Prosthetics, LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

ARIZONA OCULAR PROSTHETICS, LLC

Practice address

3025 S Kenneth PL
Tempe, AZ 85282-3942

Phone

(480) 264-3041

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Robert J Brown, BCONPI 1376151241

Title

Pres/Ocularist

Phone

(480) 264-3041

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 2

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.

• Robert James Brown, BCO

  • Ocularist
  • Tempe, AZ
  • NPI 1376151241
  NPD Authorized official
• Kylie Brown, BCO

  • Ocularist
  • Tempe, AZ
  • NPI 1811505795
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1548465248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 S KENNETH PL",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823942",
            "telephone_number": "480-264-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 S KENNETH PL",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823942",
            "telephone_number": "480-264-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA OCULAR PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES/OCULARIST",
        "authorized_official_telephone_number": "480-264-3041",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Technician/Technologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.