Optech Orthotics & Prosthetics Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OPTECH ORTHOTICS & PROSTHETICS CORP

Practice address

121 Springfield Ave
Joliet, IL 60435

Phone

(815) 741-9700

Fax

(815) 741-4701

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Martin B McNab, CPO

Title

Certified Orthotist Prosthotist

Phone

(815) 932-8564

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1609914860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-741-9700",
            "fax_number": "815-741-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-741-9700",
            "fax_number": "815-741-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTECH ORTHOTICS & PROSTHETICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "MCNAB",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST PROSTHOTIST",
        "authorized_official_telephone_number": "815-932-8564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD UHC",
            "identifier": "80543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04622011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omni Connect LLC
• Maria Irene Victoria Herrera Onagan, M.D.
• Kate O Onwunghai-Ogbomo, PHARM D
• Susan Jayne Opacian, RN
• Open Path Counseling
• Optech Orthotics & Prosthetics Services LTD.
• Optima Medical Associates, LTD
• Optima Medical Associates, LTD.
• Salvador Oregel
• Ignacio Orellana, MD

• Prosthetic/Orthotic Supplier in Joliet, IL
• Providers in Joliet, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

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