Organization Active NPI

Optima PC

  • Foot & Ankle Surgery Podiatrist
  • Redmond, OR
National Provider Identifier
1568366797
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OPTIMA PC
Practice address
1245 NW 4TH St Ste 201
Redmond, OR 97756-1680
Phone
(541) 383-3668
Fax
(541) 383-4546
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTIMA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Jenna B Mackay, DPMNPI 1689029936
Title
Owner/President
Phone
(509) 751-7254

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1245 NW 4TH St Ste 201
Redmond, OR 97756-1680

Mailing address

1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 383-3668

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1568366797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016071",
            "telephone_number": "541-383-3668",
            "fax_number": "541-383-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-383-3668",
            "fax_number": "541-383-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMA PC",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-751-7254",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.