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

Frederick Customeyez Prosthetics LLC

Organization Ocularist · NPI 1912440843

Frederick Customeyez Prosthetics LLC is an Ocularist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1422 Euclid Ave Ste 802
Cleveland, OH 44115-1902
Phone: (401) 584-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence O.24 (OH)
Ocularist Taxonomy 156FX1700X

Record details

NPI number1912440843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Frederick — Ocularist/Owner · (401) 584-3939
NPI enumeratedNovember 26, 2016
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address9278 Paradise Dr, Panama City Beach, FL 32413-9625

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