Frederick Customeyez Prosthetics LLC
NPI #1841926599 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1841926599
- Entity Type
- Organization
- Organization Name
- Frederick Customeyez Prosthetics LLC
- Primary Specialty
- Technician/Technologist - Ocularist
- Enumeration Date
- Jul 26, 2022
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 1834 CRAIG RD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63146-4712
- Phone
- (401) 584-3939
Authorized Official
- Name
- MELISSA FREDERICK
- Title
- OWNER
- Phone
- (401) 584-3939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Prosthetic/Orthotic Supplier |
| Technician/Technologist - Ocularist — Ocularist |
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