ANDERSEN EYE PROSTHETICS, LLC – NPI #1235510892
Technician/Technologist

ANDERSEN EYE PROSTHETICS, LLC is a technician located in DETROIT, MI. NPPES has assigned the NPI number 1235510892 to ANDERSEN EYE PROSTHETICS, LLC on June 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 156FX1700X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Ocularist

The NPI profile was previously updated about 10 years ago on Feb 24, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDERSEN EYE PROSTHETICS, LLC below.

NPI Profile for
ANDERSEN EYE PROSTHETICS, LLC

NPI Number
1235510892
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANDERSEN EYE PROSTHETICS, LLC
Primary location
4719 SAINT ANTOINE ST
DETROIT, MI 48201-1423
Phone: (989) 249-1030 Fax:
Mailing address
PO BOX 5649
SAGINAW, MI 48603-0649
Phone: (989) 249-1030 Fax:
Organization Subpart
No
Authorized Official
GREGORY HAZEN
MEDICAL DIRECTOR
Phone: (989) 249-1030
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1700X
- Technician/Technologist / Ocularist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.