MR. ERIK KOLBERG BCO
NPI 1912404609
Technician/Technologist - Ocularist in San Diego, CA

Active since April 09, 2018
9663 TIERRA GRANDE ST STE 201, SAN DIEGO, CA 92126(858) 695-2021(858) 695-2712 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Erik Kolberg Bco NPPES

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

MR. ERIK KOLBERG BCO (NPI 1912404609) is an individual ocularist provider in San Diego, California and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1912404609
Entity TypeIndividualMale
Primary Taxonomy156FX1700X
Provider Legal NameMR. ERIK KOLBERGCredential: BCO
Location Address9663 TIERRA GRANDE ST STE 201San Diego, CA 92126-4570
Mailing Address9663 Tierra Grande St Ste 201San Diego, CA 92126-4570 · (858) 695-2021 · Fax (858) 695-2712
Fax(858) 695-2712
Sole ProprietorYes
Enumeration DateApril 9, 2018
NPI 1912404609 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.

9663 TIERRA GRANDE ST STE 201, San Diego, CA 92126

Other Identifiers 1

Medicaid1164466488CA

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

The NPI number assigned to this healthcare provider is 1912404609, enumerated as an "individual" on April 09, 2018.

The provider is located at 9663 TIERRA GRANDE ST STE 201 SAN DIEGO, CA 92126 and the phone number is (858) 695-2021.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.