Organization
SCOTT D. FISCUS
Active
Other names
Precision Ocular Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D FISCUS B.C.O. (OWNER)
(615) 361-0930
Entity
Organization
Contact information
Practice address
2611 WESTWOOD DR, SUITE A, NASHVILLE, TN 37204-2709
(615) 361-0930
(615) 467-7507
Mailing address
2611 WESTWOOD DR, SUITE A, NASHVILLE, TN 37204-2709
(615) 361-0930
(615) 467-7507
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
02-294-20
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90274218
—
KY
05
—
Q021236
—
TN
Enumeration date
10/07/2010
Last updated
04/04/2017
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