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Organization

ADVANCED ARTIFICIAL EYES

Active
Other names
John Stolpe, B.C.O.
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MATTHEW STOLPE B.CO. ,B.A.D.O. (BOARD CERTIFIED OCULARIST, BOARD AP)
(818) 758-1666
Entity
Organization

Contact information

Practice address
21112 VENTURA BLVD, WOODLAND HILLS, CA 91364-2103
(818) 758-1666
(818) 758-1786
Mailing address
21112 VENTURA BLVD, WOODLAND HILLS, CA 91364-2103
(818) 758-1666
(818) 758-1786

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
224P00000X
Prosthetist
229N00000X
Anaplastologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6419480001
MEDICARE PTAN
CA
05
6419480001
CA
Enumeration date
04/11/2016
Last updated
01/27/2025
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