Active NPI
Ocular Prosthetics, Inc.
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OCULAR PROSTHETICS, INC.
- Practice address
- 321 N Larchmont Blvd
Suite 711
Los Angeles, CA 90004-3025 - Phone
- (323) 462-6004
- NPI assigned
- Nov 8, 2006
- 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
- Stephen Edward Haddad
- Title
- President
- Phone
- (323) 462-6004
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd
Suite 711
Los Angeles, CA 90004-3025
Mailing address
321 N Larchmont Blvd
Suite 711
Los Angeles, CA 90004-3025
Phone (323) 462-6004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DXO270090 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076665 | CA | DME Supplier - Ocularist | 9830216522 | Practice locations: Los Angeles, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Orange, CA
- NPI 1396030136
9830216522
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 |
|---|---|---|
| Ocular Prosthetics Inc | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ocular Prostheticsinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Orange, CA
- NPI 1396030136
Locations
321 N Larchmont Blvd
Ste 711
Los Angeles, CA 90004
Phone (323) 462-6004
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Los Angeles, CA
- NPI 1689442477
-
- Ocularist
- Los Angeles, CA
- NPI 1588432371
-
- Ocularist
- Los Angeles, CA
- NPI 1770351561
-
- Anaplastologist
- Los Angeles, CA
- NPI 1598384471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1891865770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"address_2": "SUITE 711",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "323-462-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"address_2": "SUITE 711",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "323-462-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCULAR PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "HADDAD",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-462-6004"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DXO270090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.