Sandhill Ocular Prosthetics LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

SANDHILL OCULAR PROSTHETICS LLC

Practice address

112 Treemonte Dr
Orange City, FL 32763-7953

Phone

(386) 880-4408

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Kori Jahrling Malouin, BCO, BADONPI 1023843471

Title

Owner

Phone

(386) 218-0445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Kori J Malouin, BCO, BADO

  • Ocularist
  • Orange City, FL
  • NPI 1023843471
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1649094699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 TREEMONTE DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637953",
            "telephone_number": "386-218-0445",
            "fax_number": "386-244-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TREEMONTE DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637953",
            "telephone_number": "386-880-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILL OCULAR PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MALOUIN",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "JAHRLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-218-0445",
        "authorized_official_credential": "BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Samaan
• Leslie E. Samo, ARNP
• Kufre Ignatius Samuel, APRN,CNM, WHNP-BC
• Yadiel Sanchez Padilla, MD
• Aaran Michael Sanders, PHARMD
• Neil Sandhu, MD
• Sandra Dee MD LLC (Stages Pediatric Care)
• Sandra Dee MD LLC (Stages Pediatrics Care)
• Renee Sandusky, AGACNP-BC
• Sanford Pediatric Associates PA

• Technician/Technologist in Orange City, FL
• Providers in Orange City, FL by specialty
• Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.