ADVANCED ARTIFICIAL EYES — NPI 1053775502 (Licensed & Credentialed Eye and Vision Services Providers, Technician — Technologist, Ocularist in WOODLAND HILLS, CA)

CMS-1500 Box 24J / 33a • NPI

1053775502

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

156FX1700X (CMS B5)

Licensed & Credentialed Eye and Vision Services Providers, Technician — Technologist, Ocularist

Box 32 Service Location & ZIP+4

21112 VENTURA BLVD, WOODLAND HILLS, CA, 91364-2103

✓ 9-Digit EDI 837 ZIP+4 (91364-2103)

Practice Phone & Referral Fax

(818) 758-1666

Fax: (818) 758-1786

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053775502 (ADVANCED ARTIFICIAL EYES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053775502` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED ARTIFICIAL EYES
Plain-English Specialty	Licensed & Credentialed Eye and Vision Services Providers, Technician — Technologist, Ocularist NUCC Code: `156FX1700X` (Technician/Technologist, Ocularist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	21112 VENTURA BLVD, WOODLAND HILLS, CA, 91364-2103
Practice Telephone / Fax	Tel: (818) 758-1666 \| Fax: (818) 758-1786
Administrative Mailing Address	21112 VENTURA BLVD, WOODLAND HILLS, CA, 91364-2103
Enumeration & Last Sync	Enumerated: 2016-04-11 \| CMS Record Updated: 2025-01-27
Authorized Official	JOHN STOLPE (Board Certified Ocularist, Board Ap)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

21112 VENTURA BLVD, WOODLAND HILLS, CA, 91364-2103

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Plain-English Taxonomy & CMS Crosswalk (156FX1700X)

What Does Taxonomy Code 156FX1700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156FX1700X translates to:
"Licensed & Credentialed Eye and Vision Services Providers, Technician — Technologist, Ocularist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B5 (Ocularist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician/Technologist, Ocularist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED ARTIFICIAL EYES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156FX1700X` — Technician/Technologist, Ocularist Plain English: Licensed & Credentialed Eye and Vision Services Providers, Technician — Technologist, Ocularist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`224P00000X` — Prosthetist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist	State: N/A \| License: `Verified` \| Primary: Secondary
`229N00000X` — Anaplastologist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Anaplastologist	State: N/A \| License: `Verified` \| Primary: Secondary

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ADVANCED ARTIFICIAL EYES (NPI #1053775502)