# SPECULARIS MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508601667
- **Authorized official:** ASHLIE OTT (VP CLAIMS OPERATIONS)
- **Authorized official phone:** (314) 717-3436

## Contact information

- **Practice address:** 2467 GRATIA PL, CASSELBERRY, FL 32707-2420
- **Practice address phone:** (314) 717-3436
- **Mailing address:** PO BOX 728, MANCHESTER, MO 63011-1028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 06/28/2024