Active NPI
Custom Ocular Prosthetics LLC
- Prosthetic/Orthotic Supplier
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CUSTOM OCULAR PROSTHETICS LLC
- Practice address
- 10212 5TH Ave NE Ste 210
Seattle, WA 98125-7471 - Phone
- (206) 522-4222
- Fax
- (206) 525-1496
- NPI assigned
- Jul 5, 2019
- 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
- Brian E Koceski
- Title
- Office Manager
- Phone
- (206) 522-4222
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
10212 5TH Ave NE Ste 210
Seattle, WA 98125-7471
Mailing address
10212 5TH Ave NE Ste 210
Seattle, WA 98125-7471
Phone (206) 522-4222
Other names 1
- Custom Ocular Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251212000682 | WA | DME Supplier - Ocularist | 9133613599 | Practice locations: Seattle, WA |
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 |
|---|---|---|
| Custom Ocular Prosthetics LLC | Ocular Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
10212 5th Ave NE
Ste 210
Seattle, WA 98125
Phone (206) 522-4222
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Seattle, WA
- NPI 1144882556
-
- Ocularist
- Seattle, WA
- NPI 1649777418
-
- Ocularist
- Seattle, WA
- NPI 1700995461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1770145138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 5TH AVE NE STE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257471",
"telephone_number": "206-522-4222",
"fax_number": "206-525-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10212 5TH AVE NE STE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257471",
"telephone_number": "206-522-4222",
"fax_number": "206-525-1496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM OCULAR PROSTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-05",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "KOCESKI",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "206-522-4222"
},
"taxonomies": [
{
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Custom Ocular Prosthetics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.