Healthcare Provider Details

I. General information

NPI: 1366921702
Provider Name (Legal Business Name): OCULAR PROSTHETIC DESIGNS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 S 31ST ST
TEMPLE TX
76504-5215
US

IV. Provider business mailing address

1120 S 31ST ST
TEMPLE TX
76504-5215
US

V. Phone/Fax

Practice location:
  • Phone: 254-721-3196
  • Fax:
Mailing address:
  • Phone: 254-410-7061
  • Fax: 254-410-7062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN A BRINKLEY
Title or Position: PRESIDENT/OCULARIST
Credential: BCO, BADO
Phone: 254-410-7061