Provider Demographics
NPI:1699509323
Name:PROSTHETIC ARTISTS, INC.
Entity type:Organization
Organization Name:PROSTHETIC ARTISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:916-485-4249
Mailing Address - Street 1:300 N 5TH AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1447
Mailing Address - Country:US
Mailing Address - Phone:916-485-4249
Mailing Address - Fax:734-800-3723
Practice Address - Street 1:300 N 5TH AVE STE 130
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1447
Practice Address - Country:US
Practice Address - Phone:916-485-4249
Practice Address - Fax:734-800-3723
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment