Organization
OPHTHALMIC PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONINO A DELEZA (OCULARIST-OWNER)
(713) 524-5232
Entity
Organization
Contact information
Practice address
5005 CAROLINE ST, HOUSTON, TX 77004-5703
(713) 524-5232
(713) 524-6744
Mailing address
5005 CAROLINE ST, HOUSTON, TX 77004-5703
(713) 524-5232
(713) 524-6744
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086422501
—
TX
01
—
1104907070
NPI-INDIVIDUAL PROVIDER
TX
Enumeration date
11/08/2006
Last updated
12/01/2011
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