NPI 1598049744

Alloplastic Reconstruction

Organisation Ocularist Little Rock, AR

Practice location

Address: 3924 W Markham St, Little Rock, AR 72205-5528
Phone: (501) 265-0100
Fax: (501) 265-0102

Authorised official

Name: Michael Kaczkowski
Title: President
Phone: (501) 265-0100

Registered specialties (5)

Ocularist Primary

Eye and Vision Services Providers Taxonomy 156FX1700X

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Specialist

Other Service Providers Taxonomy 174400000X

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Anaplastologist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X

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Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X Licence OPP00038 (AR)

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Registry record

NPI: 1598049744
Entity type: Organization
NPI issued: 6 Oct 2011
Record last updated: 26 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.