ALLOPLASTIC RECONSTRUCTION
NPI 1598049744
Technician/Technologist - Ocularist in Little Rock, AR

Active since October 06, 2011
3924 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 265-0100(501) 265-0102 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2018, Aug 23, 2018 (2 updates tracked since 2018).

About Alloplastic Reconstruction NPPES

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

ALLOPLASTIC RECONSTRUCTION (NPI 1598049744) is a healthcare organization registered as an ocularist in Little Rock, Arkansas and active in the NPI registry since October 2011. The organization lists Michael Kaczkowski, President, as its authorized official.

NPPES Registry Identity

NPI1598049744
Entity TypeOrganization
Primary Taxonomy156FX1700X
Legal Business NameALLOPLASTIC RECONSTRUCTION
Location Address3924 W MARKHAM STLittle Rock, AR 72205-5528
Mailing Address3924 W Markham StLittle Rock, AR 72205-5528 · (501) 265-0100 · Fax (501) 265-0102
Fax(501) 265-0102
Organization SubpartNo
Authorized OfficialMichael KaczkowskiPresident · (501) 265-0100
Enumeration DateOctober 6, 2011
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
NPI 1598049744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedAnaplastologistTaxonomy 229N00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License OPP00038 (AR)
3924 W MARKHAM ST, Little Rock, AR 72205

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Alloplastic Reconstruction carries, from the Medicare DMEPOS supplier directory.

Alloplastic Reconstruction

DMEPOS supplier · Little Rock, AR

Accepts Medicare assignment

Alloplastic Reconstruction agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20404655
Medicare Participant SinceSeptember 7, 2021
Supplier Location3924 W Markham StLittle Rock, AR 72205
Provider TypeCertified Orth/Pros/Pedorthist · Ocularists
Supplier Specialties
MSC With Prosthetic Personnel

Medicare Product Categories

Facial Prostheses
Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
Ocular Prostheses
Prosthetic eyes
Somatic Prostheses
Finger prosthesis, Hand prosthesis, Toe prosthesis
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3924 W MARKHAM ST
LITTLE ROCK, AR 72205
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3924 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Alloplastic Reconstruction's NPI number?

The NPI number for Alloplastic Reconstruction is 1598049744. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is Alloplastic Reconstruction located?

Alloplastic Reconstruction is located at 3924 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 265-0100.

What is Alloplastic Reconstruction's specialty?

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

Does Alloplastic Reconstruction accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Alloplastic Reconstruction accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Alloplastic Reconstruction accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Alloplastic Reconstruction as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alloplastic Reconstruction was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.