Organization Active NPI

Old Dominion Prosthetics & Orthotics, Inc.

  • Customized Equipment (DME)
  • Lynchburg, VA
National Provider Identifier
1346340262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
OLD DOMINION PROSTHETICS & ORTHOTICS, INC.
Practice address
2050 Langhorne Rd
Suite 200
Lynchburg, VA 24501-1402
Phone
(434) 528-1030
Fax
(434) 528-1043
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Catherine B Garrison
Title
Business Manager
Phone
(434) 973-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X VA Primary

Addresses

Primary practice location

2050 Langhorne Rd
Suite 200
Lynchburg, VA 24501-1402

Mailing address

2050 Langhorne Rd
Suite 200
Lynchburg, VA 24501-1402
Phone (434) 528-1030

Other identifiers 1

IdentifierTypeStateIssuer
106977OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

2050 Langhorne Rd
Ste 200
Lynchburg, VA 24501
Phone (434) 528-1030

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346340262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD",
            "address_2": "SUITE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402",
            "telephone_number": "434-528-1030",
            "fax_number": "434-528-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD",
            "address_2": "SUITE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402",
            "telephone_number": "434-528-1030",
            "fax_number": "434-528-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "434-973-6209"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "106977",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.