ANDERSEN EYE PROSTHETICS, LLC
NPI 1235510892
Technician/Technologist - Ocularist in Detroit, MI

Q: What is Andersen Eye Prosthetics, LLC's NPI number?

The NPI number for Andersen Eye Prosthetics, LLC is 1235510892. It was assigned to this organization in the NPPES registry on June 9, 2015.

Q: What is Andersen Eye Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ocularist, with taxonomy code 156FX1700X.

Active since June 09, 2015

4719 SAINT ANTOINE ST, DETROIT, MI 48201(989) 249-1030 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Andersen Eye Prosthetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSEN EYE PROSTHETICS, LLC (NPI 1235510892) is a healthcare organization registered as an ocularist in Detroit, Michigan and active in the NPI registry since June 2015. The organization lists Gregory Carmen Hazen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235510892

Entity TypeOrganization

Primary Taxonomy156FX1700X

Legal Business NameANDERSEN EYE PROSTHETICS, LLC

Location Address4719 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing AddressPo Box 5649Saginaw, MI 48603-0649 · (989) 249-1030

Phone(989) 249-1030

Organization SubpartNo

Authorized OfficialGregory Carmen HazenMedical Director · (989) 249-1030

Enumeration DateJune 9, 2015

Last NPPES UpdateFebruary 24, 2016

✔ NPI 1235510892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OcularistEye and Vision Services Providers

Taxonomy Code156FX1700X

Definition

An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

4719 SAINT ANTOINE ST, Detroit, MI 48201

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andersen Eye Prosthetics, LLC's NPI number?

The NPI number for Andersen Eye Prosthetics, LLC is 1235510892. It was assigned to this organization in the NPPES registry on June 9, 2015.

Where is Andersen Eye Prosthetics, LLC located?

Andersen Eye Prosthetics, LLC is located at 4719 Saint Antoine St, Detroit, MI 48201. The listed phone number is (989) 249-1030.

What is Andersen Eye Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ocularist, with taxonomy code 156FX1700X.

When was this NPI record last updated?

The NPPES record for Andersen Eye Prosthetics, LLC was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.