Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andersen Eye Prosthetics, LLC

Organization Ocularist · NPI 1235510892

Andersen Eye Prosthetics, LLC is an Ocularist in Detroit, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4719 Saint Antoine St
Detroit, MI 48201-1423
Phone: (989) 249-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ocularist (primary) Taxonomy 156FX1700X

Record details

NPI number1235510892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Hazen — Medical Director · (989) 249-1030
NPI enumeratedJune 9, 2015
Last updated in NPPESFebruary 24, 2016
Mailing addressPo Box 5649, Saginaw, MI 48603-0649