Provider Demographics
NPI:1720215692
Name:OCULUS INNOVATIVE SCIENCES
Entity Type:Organization
Organization Name:OCULUS INNOVATIVE SCIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOJABR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIMI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:707-283-0550
Mailing Address - Street 1:1129 N MCDOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-1110
Mailing Address - Country:US
Mailing Address - Phone:707-283-0550
Mailing Address - Fax:
Practice Address - Street 1:1129 N MCDOWELL BLVD
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1110
Practice Address - Country:US
Practice Address - Phone:707-283-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies