Organization · Type 2 NPI

Peter J Kazanovicz

Prosthetic/Orthotic Supplier · Portland, ME

NPI number 1710161773 Active

Practice location

1685 Congress Street
Portland, ME 04102-2776

Call (207) 772-1467 Map

Fax (603) 644-2354

Mailing address

169 S River Rd, Unit 14A
Bedford, NH 03110-6971

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: 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.

3 other providers at this address

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NPI record

NPI: 1710161773
Entity type: Organization (Type 2)
Issued: Dec 26, 2007
Last updated: Oct 30, 2012
Status: Active

Other names

<unavail>
D/b/a Studley Ocular Laboratories · doing business as

Authorized official

Mr. Peter J Kazanovicz, B.C.O.
Board Certified Ocularist/owner
(603) 622-5200

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About NPI 1710161773

Peter J Kazanovicz's National Provider Identifier is 1710161773, issued on Dec 26, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Portland, ME. The record was last updated on Oct 30, 2012.