FREDERICK CUSTOMEYEZ PROSTHETICS LLC
NPI 1841926599
Technician/Technologist - Ocularist in Saint Louis, MO

Active since July 26, 2022
1834 CRAIG RD, SAINT LOUIS, MO 63146(401) 584-3939(216) 678-9186 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2025, Jul 26, 2022 (2 updates tracked since 2022).

About Frederick Customeyez Prosthetics Llc NPPES

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

FREDERICK CUSTOMEYEZ PROSTHETICS LLC (NPI 1841926599) is a healthcare organization registered as an ocularist in Saint Louis, Missouri and active in the NPI registry since July 2022. The organization lists Melissa Frederick, Owner, as its authorized official.

NPPES Registry Identity

NPI1841926599
Entity TypeOrganization
Primary Taxonomy156FX1700X
Legal Business NameFREDERICK CUSTOMEYEZ PROSTHETICS LLC
Location Address1834 CRAIG RDSaint Louis, MO 63146-4712
Mailing AddressPo Box 27802Saint Louis, MO 63146-1302 · (401) 584-3939 · Fax (216) 678-9186
Fax(216) 678-9186
Organization SubpartNo
Authorized OfficialMelissa FrederickOwner · (401) 584-3939
Enumeration DateJuly 26, 2022
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1841926599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
1834 CRAIG RD, Saint Louis, MO 63146

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center
1834 CRAIG RD
SAINT LOUIS, MO 63146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841926599, enumerated as an "organization" on July 26, 2022.

The provider is located at 1834 CRAIG RD SAINT LOUIS, MO 63146 and the phone number is (401) 584-3939.

Technician/Technologist with taxonomy code 156FX1700X and a focus in Ocularist.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.