Active NPI
La Fuente Specialty Prosthetics,LLC
- Customized Equipment (DME)
- Brandon, FL
National Provider Identifier
1790595254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- LA FUENTE SPECIALTY PROSTHETICS,LLC
- Practice address
- 214 E Lumsden Rd
Brandon, FL 33511-6440 - Phone
- (405) 620-0880
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Organization subpart
- Yes
- Parent organization
- LA FUENTE SPECIALTY PROSTHETICS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Lafuente
- Title
- Ocuarist/Owner
- Phone
- (405) 620-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
214 E Lumsden Rd
Brandon, FL 33511-6440
Mailing address
214 E Lumsden Rd
Brandon, FL 33511-6440
Phone (405) 620-0880
Other practice location 1
229 NW 9th St
Oklahoma City, OK 73102-2619
Phone (405) 620-0880
National Provider Directory
National Provider Directory- Tax ID family
- La Fuente Specialty Prostheticsllc
- Part of
- La Fuente Specialty Prostheticsllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Oklahoma City, OK
- NPI 1851101307
Practitioners & affiliated clinicians
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.
-
- Ocularist
- Oklahoma City, OK
- NPI 1174186191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1790595254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116440",
"telephone_number": "405-620-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116440",
"telephone_number": "405-620-0880"
}
],
"practiceLocations": [
{
"address_1": "229 NW 9th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731022619",
"country_code": "US",
"telephone_number": "405-620-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LA FUENTE SPECIALTY PROSTHETICS,LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LA FUENTE SPECIALTY PROSTHETICS, LLC",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "LAFUENTE",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "OCUARIST/OWNER",
"authorized_official_telephone_number": "405-620-0880"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.