SOUTHERN OCULAR PROSTHETICS, LLC
NPI 1417673591
Technician/Technologist - Ocularist in Decatur, GA

Active since October 19, 2022
2801 N DECATUR RD STE 130, DECATUR, GA 30033(470) 296-2152 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Ocular Prosthetics, Llc NPPES

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

SOUTHERN OCULAR PROSTHETICS, LLC (NPI 1417673591) is a healthcare organization registered as an ocularist in Decatur, Georgia and active in the NPI registry since October 2022. The organization lists Antonio Louis Alcorta, President, as its authorized official.

NPPES Registry Identity

NPI1417673591
Entity TypeOrganization
Primary Taxonomy156FX1700X
Legal Business NameSOUTHERN OCULAR PROSTHETICS, LLC
Location Address2801 N DECATUR RD STE 130Decatur, GA 30033-6049
Mailing Address6065 Roswell Rd Ste 870Sandy Springs, GA 30328-4065 · (559) 940-1189
Organization SubpartNo
Authorized OfficialAntonio Louis AlcortaPresident · (559) 940-1189
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
NPI 1417673591 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.
2801 N DECATUR RD STE 130, Decatur, GA 30033

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 Southern Ocular Prosthetics, LLC's NPI number?

The NPI number for Southern Ocular Prosthetics, LLC is 1417673591. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Southern Ocular Prosthetics, LLC located?

Southern Ocular Prosthetics, LLC is located at 2801 N Decatur Rd Ste 130, Decatur, GA 30033. The listed phone number is (470) 296-2152.

What is Southern Ocular 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 Southern Ocular Prosthetics, LLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.