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

Southern Ocular Prosthetics, LLC

Organization Ocularist · NPI 1417673591

Southern Ocular Prosthetics, LLC is an Ocularist in Decatur, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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

2801 N Decatur Rd Ste 130
Decatur, GA 30033-6049
Phone: (470) 296-2152
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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 number1417673591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Alcorta — President · (559) 940-1189
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing address6065 Roswell Rd Ste 870, Sandy Springs, GA 30328-4065

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