MERCER BEAUTY SUPPLY – NPI #1053506121
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

MERCER BEAUTY SUPPLY is a DME Supplier located in LAWTON, OK. NPPES has assigned the NPI number 1053506121 to MERCER BEAUTY SUPPLY on September 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 18 years ago on Jul 16, 2008. 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 MERCER BEAUTY SUPPLY below.

NPI Profile for
MERCER BEAUTY SUPPLY

NPI Number
1053506121
Enumeration Date

(about 19 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
MERCER BEAUTY SUPPLY
Primary location
1016 SW D AVE
LAWTON, OK 73501
Phone: (580) 353-0690 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IVA BLACK
OWNER
Phone: (580) 353-0690
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
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
OK 22498 001
225000000X
- Orthotic Fitter
OK 22498 001

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.