Provider Demographics
NPI:1619279296
Name:DH OCULAR PROSTHETICS LLC
Entity Type:Organization
Organization Name:DH OCULAR PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCULARIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CALEB
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-541-5777
Mailing Address - Street 1:637 PHILADELPHIA ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3919
Mailing Address - Country:US
Mailing Address - Phone:724-349-0900
Mailing Address - Fax:724-349-0922
Practice Address - Street 1:637 PHILADELPHIA ST
Practice Address - Street 2:SUITE 311
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3919
Practice Address - Country:US
Practice Address - Phone:724-349-0900
Practice Address - Fax:724-349-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty