Miletti'S Shoe & Lab, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7412620 Issued in OH

Legal business name

MILETTI'S SHOE & LAB, INC.

Practice address

390 W Market St
Suite 1
Tiffin, OH 44883-2608

Phone

(419) 447-1981

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Robert Scheiber, C. PED./L. PED.NPI 1083749600

Title

Owner/President

Phone

(419) 447-1981

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Robert Scheiber, C. PED, L. PED

  • Specialist
  • Tiffin, OH
  • NPI 1083749600
  NPD (past) Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1104094648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W MARKET ST",
            "address_2": "SUITE 1",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832608",
            "telephone_number": "419-447-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W MARKET ST",
            "address_2": "SUITE 1",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832608",
            "telephone_number": "419-447-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILETTI'S SHOE & LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHEIBER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "419-447-1981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. PED./L. PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "7412620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.