Alloplastic Reconstruction
Ocularist
3924 W Markham St, Little Rock
Arkansas, 72205-5528
501-265-0100 501-265-0102
Alloplastic Reconstruction is a Ocularist in Little Rock, Arkansas. It is located at 3924 W Markham St, Little Rock and it's customer support contact number is 501-265-0100. The authorized person of Alloplastic Reconstruction is Mr. Michael Kaczkowski who is President of this DME and his contact number is 501-265-0100. Alloplastic Reconstruction accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Alloplastic Reconstruction is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Alloplastic Reconstruction type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Alloplastic Reconstruction |
| Type: | Ocularist |
| Location: | 3924 W Markham St, Little Rock,
Arkansas, 72205-5528 |
| Phone: | 501-265-0100 |
| Fax: | 501-265-0102 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Kaczkowski |
| Position: | President |
| Contact Number: | 501-265-0100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1598049744 |
| NPI Enumeration Date: | 06 Oct, 2011 |
| NPI Last Update On: | 26 Sep, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alloplastic Reconstruction are as mentioned below.
| Specialization | License Number | State | Status | |
| Ocularist | | | Primary | |
| Anaplastologist | | | Secondary | |
| Customized Equipment | | | Secondary | |
| Specialist | | | Secondary | |
| Prosthetic/orthotic Supplier | OPP00038 | Arkansas | Secondary | |
Medicare Enrollment:
Alloplastic Reconstruction is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345415444 | O20111219000031 | Alloplastic Reconstruction | DME SUPPLIER - OCULARIST |
| 0345415444 | O20210929001339 | Alloplastic Reconstruction | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Alloplastic Reconstruction has following products available for sale under medicare.
| Products: |
|---|
| • Facial Prostheses | • Ocular Prostheses |
| • Somatic Prostheses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3924 W Markham St,
Little Rock, Arkansas |
| Zip: | 72205-5528 |
| Phone Number: | 501-265-0100 |
| Fax Number: | 501-265-0102 |
Patients can reach Alloplastic Reconstruction at
3924 W Markham St, Little Rock, Arkansas or can
call on customer care at 501-265-0100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.