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FREDERICK CUSTOMEYEZ PROSTHETICS LLC
NPI 1912440843
Prosthetic/Orthotic Supplier in Cleveland, OH

Active since November 26, 2016
1422 EUCLID AVE, SUITE 802, CLEVELAND, OH 44115(401) 584-3939 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Feb 7, 2023, Nov 26, 2016 (3 updates tracked since 2016).

About Frederick Customeyez Prosthetics Llc NPPES

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

FREDERICK CUSTOMEYEZ PROSTHETICS LLC (NPI 1912440843) is a healthcare organization registered as a prosthetic/orthotic supplier in Cleveland, Ohio and active in the NPI registry since November 2016. The organization lists Melissa Frederick, Ocularist/owner, as its authorized official.

NPPES Registry Identity

NPI1912440843
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFREDERICK CUSTOMEYEZ PROSTHETICS LLC
Location Address1422 EUCLID AVE, SUITE 802Cleveland, OH 44115-1902
Mailing Address9278 Paradise DrPanama City Beach, FL 32413-9625 · (401) 584-3939 · Fax (216) 678-9186
Phone(401) 584-3939
Organization SubpartNo
Authorized OfficialMelissa FrederickOcularist/owner · (401) 584-3939
Enumeration DateNovember 26, 2016
Last NPPES UpdateJuly 3, 20253 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1912440843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in OH · O.24
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedTechnician/Technologist · OcularistTaxonomy 156FX1700X
1422 EUCLID AVE, Cleveland, OH 44115
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Frederick Customeyez Prosthetics Ll carries, from the Medicare DMEPOS supplier directory.

Frederick Customeyez Prosthetics Ll

DMEPOS supplier · Cleveland, OHOperated by Frederick Customeyez Prosthetics LLC
⋮

Does not accept Medicare assignment

Frederick Customeyez Prosthetics Ll has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20469239
Medicare Participant SinceDecember 8, 2016
Supplier Location1422 Euclid Ave Ste 802Cleveland, OH 44115
Phone(401) 584-3939
Provider TypeOcularists
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
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 4

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

DR. RALPH F. KNAPP INC.
Clinic/Center (Dental)
1422 EUCLID AVE, HANNA BLDG. SUITE 612
CLEVELAND, OH 44115
Cuyahoga County (216) 241-6104
DR. JUDITH CHASSIS GERBLICH MD
Ophthalmology
1422 EUCLID AVE, 616
CLEVELAND, OH 44115
Cuyahoga County (216) 771-6565
DR. K. BRAD KNAPP DDS
Dentist
1422 EUCLID AVE, HANNA BLDG. SUITE 612
CLEVELAND, OH 44115
Cuyahoga County (216) 241-6104
MELISSA FREDERICK
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1422 EUCLID AVE, 802
CLEVELAND, OH 44115
Cuyahoga County (314) 750-1603

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 Frederick Customeyez Prosthetics LLC's NPI number?

The NPI number for Frederick Customeyez Prosthetics LLC is 1912440843. It was assigned to this organization in the NPPES registry on November 26, 2016.

Where is Frederick Customeyez Prosthetics LLC located?

Frederick Customeyez Prosthetics LLC is located at 1422 Euclid Ave Suite 802, Cleveland, OH 44115. The listed phone number is (401) 584-3939.

What is Frederick Customeyez Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Frederick Customeyez Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Frederick Customeyez Prosthetics Ll does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Frederick Customeyez Prosthetics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cox HealthPlans list Frederick Customeyez Prosthetics LLC 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 Frederick Customeyez Prosthetics LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.