OIG exclusion detail
LA FUENTE OCULAR PROSTHETICS,
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1639577885
- Name
- LA FUENTE OCULAR PROSTHETICS,
- Address
- 229 NW 9TH STREET, OKLAHOMA CITY, OK, 73102
- Specialty
- DME - PROSTHETICS
- Exclusion type
- BRCH CIA
- Exclusion date
- 20180914
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
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