Organization
CUSTOM OCULAR PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. WARD OCULARIST (PRESIDENT)
(520) 722-7471
Entity
Organization
Contact information
Practice address
9465 E HARRISON PL, TUCSON, AZ 85710-6613
(520) 722-7471
Mailing address
9465 E HARRISON PL, TUCSON, AZ 85710-6613
(520) 722-7471
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NOT REQUIRED BY STAT
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309543
—
AZ
Enumeration date
08/06/2007
Last updated
02/19/2008
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