NPI age
18 years
Enumerated 2007-12-13
● Active Type 2 · Organization
Custom Ocular Prosthetics Inc
Custom Ocular Prosthetics Inc is 1 of 2 technician/technologist organizations in Georgia.
Primary specialty
Technician/Technologist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alcorta
Owner
Last NPPES update
2025-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 2 active technician/technologist providers in Georgia.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 50% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
401 S Main St, Suite B6
Alpharetta, GA 300091974
Mailing address
401 S Main St, Suite B6
Alpharetta, GA 300091974
Authorized official
Antonio Louis Alcorta, BCO
Owner
📞 5599401189
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Julius Adebisi, MD Clinic/Center NPI 1730127713
- Maribel Angka-Servera, MD Pediatrics NPI 1932162989
- Kathryn Botelho, CNM Advanced Practice Midwife NPI 1396911319
- Fredercik Chuo Dentist NPI 1245300763
- William Cox, B.C.O. Durable Medical Equipment & Medical Supplies NPI 1720127590
- Serenity Elder, FNP Nurse Practitioner NPI 1124982442
- Christine Glavey, MD Dermatology NPI 1245415603
- Ashish Kakadia, DDS Dentist NPI 1841455094
- Gary Leonard, DDS Dentist NPI 1255469789
- Omar Naoulo, DPM Podiatrist NPI 1689820748
- Dhiraj Patel, M.D Internal Medicine NPI 1891863148
- Neil Patel, M.D. Internal Medicine NPI 1225448178
- Kimberly Storey, C.N.M Obstetrics & Gynecology NPI 1215073135
Specialties
-
Technician/Technologist PrimaryAn 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...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00062048A |
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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