Milledgeville Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

000018 Issued in GA

Legal business name

MILLEDGEVILLE ORTHOTICS INC

Doing business as

no

Practice address

535 N Cobb St
Milledgeville, GA 31061-2636

Phone

(478) 453-7327

Fax

(478) 451-0741

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

William Claude Eason, CERTIFIED ORTHOTISTNPI 1033270624

Title

Owner

Phone

(478) 453-7327

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• no Doing business as

Practitioners 1

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

• William Claude Eason, CO

  • Prosthetic/Orthotic Supplier
  • Milledgeville, GA
  • NPI 1033270624
  NPD (past) Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1316124324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "HARDWICK",
            "state": "GA",
            "postal_code": "310340564",
            "telephone_number": "478-453-7327",
            "fax_number": "478-451-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612636",
            "telephone_number": "478-453-7327",
            "fax_number": "478-451-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLEDGEVILLE ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-453-7327",
        "authorized_official_credential": "CERTIFIED ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA  LIC.  ORTHOTIST",
            "identifier": "000018",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.