Ocular Prosthetics Lab Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OCULAR PROSTHETICS LAB INC

Practice address

36 W Illiana St
Orlando, FL 32806-4434

Phone

(407) 246-5451

Fax

(407) 246-0222

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Richard Bowen Jr., B.C.O., B.A.D.O.NPI 1053423699

Title

President

Phone

(407) 246-5451

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ocular Prosthetics Lab Inc

  • Prosthetic/Orthotic Supplier
  • Melbourne, FL
  • NPI 1942429154

  1759400385

  Same PAC ID

Tax ID family

Harbor House Optical in2 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.

• Ocular Prosthetics Lab Inc

  • Prosthetic/Orthotic Supplier
  • Melbourne, FL
  • NPI 1942429154
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Richard Bowen Jr., B.C.O., B.A.D.O.

  • Ocularist
  • Orlando, FL
  • NPI 1053423699
  NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1750500930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH BUMBY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034434",
            "telephone_number": "407-246-5451",
            "fax_number": "407-246-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064434",
            "telephone_number": "407-246-5451",
            "fax_number": "407-246-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULAR PROSTHETICS LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-246-5451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.C.O., B.A.D.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "NA691",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "M2133",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ochieng
• Christine Amanda Ochoa, MD
• Jessica Jannet Ochoa, DOULS
• Julie Oconnor, DPT
• Elyse Octave
• Anita S. Odaiyar
• Odb Health, Inc.
• Theodore Odem Jr.
• Jessica Odermatt
• Michelle N Odita, MD

• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.