Organization Active NPI

Optech Orthotics & Prosthetics Services, LTD

  • Prosthetic/Orthotic Supplier
  • Morris, IL
National Provider Identifier
1194001446
Registry record updated Nov 1, 2011
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
111 W Jackson St
Morris, IL 60450-1845
Phone
(815) 942-4000
Fax
(815) 932-8640
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mr. Martin B McNab Jr., CPO
Title
President
Phone
(815) 932-8564

Specialties & licenses 1

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

Addresses

Primary practice location

111 W Jackson St
Morris, IL 60450-1845

Mailing address

119 E Court St
Kankakee, IL 60901-3823
Phone (815) 942-4000

National Provider Directory

National Provider Directory

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": "1320105600000",
    "number": "1194001446",
    "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": "815-942-4000",
            "fax_number": "815-932-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501845",
            "telephone_number": "815-942-4000",
            "fax_number": "815-932-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTECH ORTHOTICS & PROSTHETICS SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "MCNAB",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "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 Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.