Active NPI
Prosthetic Artists, Inc.
- Prosthetic/Orthotic Supplier
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 07-322-13
- Legal business name
- PROSTHETIC ARTISTS, INC.
- Practice address
- 2575 E Bidwell St Ste 240
Folsom, CA 95630-6447 - Phone
- (916) 485-4249
- Fax
- (734) 800-3723
- NPI assigned
- Feb 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Matthew Lindsey
- Title
- President/Ceo
- Phone
- (916) 485-4249
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | 07-322-13 | CA | Primary |
Addresses
Primary practice location
2575 E Bidwell St Ste 240
Folsom, CA 95630-6447
Mailing address
2575 E Bidwell St Ste 240
Folsom, CA 95630-6447
Phone (916) 485-4249
Other practice location 1
3170 Jerves St Ste B
Lihue, HI 96766-3113
Phone (916) 485-4249
Other practice location 2
300 N 5th Ave Ste 130
Ann Arbor, MI 48104-1447
Phone (916) 485-4249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160509000483 | CA | DME Supplier - Ocularist | 2961701297 | Practice locations: Folsom, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Prosthetic Artists Folsom | Facial Prostheses|Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2575 E Bidwell St
Ste 240
Folsom, CA 95630
Phone (916) 485-4249
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Folsom, CA
- NPI 1013232131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1669863114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 E BIDWELL ST STE 240",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306447",
"telephone_number": "916-485-4249",
"fax_number": "734-800-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 E BIDWELL ST STE 240",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306447",
"telephone_number": "916-485-4249",
"fax_number": "734-800-3723"
}
],
"practiceLocations": [
{
"address_1": "3170 Jerves St Ste B",
"address_purpose": "LOCATION",
"city": "Lihue",
"state": "HI",
"postal_code": "967663113",
"country_code": "US",
"telephone_number": "916-485-4249",
"fax_number": "916-485-4389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N 5th Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041447",
"country_code": "US",
"telephone_number": "916-485-4249",
"fax_number": "734-800-3723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROSTHETIC ARTISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-05",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "LINDSEY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "916-485-4249"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "07-322-13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.