Organization
CUSTOM OCULAR PROSTHETICS LLC
Active
Other names
Custom Ocular Prosthetics, Gregory Thomas Sankey
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E KOCESKI (OFFICE MANAGER)
(206) 522-4222
Entity
Organization
Contact information
Practice address
10212 5TH AVE NE STE 210, SEATTLE, WA 98125-7471
(206) 522-4222
(206) 525-1496
Mailing address
10212 5TH AVE NE STE 210, SEATTLE, WA 98125-7471
(206) 522-4222
(206) 525-1496
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
03/10/2026
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