NPIMap

Organization Active NPI

Optech Orthotics & Prosthetics Services, LTD

  • Prosthetic/Orthotic Supplier
  • Watseka, IL
National Provider Identifier
1013293273
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OPTECH ORTHOTICS & PROSTHETICS SERVICES, LTD
Practice address
200 N Laird Lane
Watseka, IL 60970-7568
Phone
(815) 432-7783
Fax
(815) 932-8640
NPI assigned
Nov 1, 2011
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Martin B McNab Jr., CPONPI 1396912234
Title
Office Manager
Phone
(815) 932-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

200 N Laird Lane
Watseka, IL 60970-7568

Mailing address

119 E Court St
Kankakee, IL 60901-3823
Phone (815) 932-8564

National Provider Directory

National Provider Directory
Tax ID family
Optech Orthotics Prosthetics Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1013293273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013823",
            "telephone_number": "815-932-8564",
            "fax_number": "815-932-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LAIRD LANE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609707568",
            "telephone_number": "815-432-7783",
            "fax_number": "815-932-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTECH ORTHOTICS & PROSTHETICS SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "MCNAB",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-932-8564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.