Omnicare Labs of Champaign Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

211000198 Issued in IL

Legal business name

OMNICARE LABS OF CHAMPAIGN INC

Practice address

502 S Vine St
Urbana, IL 61801-4220

Phone

(217) 344-6664

Fax

(217) 344-9282

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William R Devlin, CPONPI 1255318176

Title

Prosthetist Orthotist

Phone

(217) 344-6664

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• OMNI PROSTHETICS AND ORTHOTICS INC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Omnicare Labs of Champaign Inc

  • Prosthetic/Orthotic Supplier
  • Mattoon, IL
  • NPI 1972921302

  2860607520

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Omnicare Labs of Champaign Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omnicare Labs of Champaign Inc

  • Prosthetic/Orthotic Supplier
  • Mattoon, IL
  • NPI 1972921302
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Omni Orthopedic Services Inc

  • Prosthetic/Orthotic Supplier
  • Effingham, IL
  • NPI 1780870576

  Member Of

  NPD member

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Omnicare Labs of Champaign Inc

  • Prosthetic/Orthotic Supplier
  • Mattoon, IL
  • NPI 1972921302
  NPPES parent name

Practitioners 1

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

• William Robert Devlin, CPO

  • Prosthetist
  • Urbana, IL
  • NPI 1255318176

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1720142094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S VINE ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014220",
            "telephone_number": "217-344-6664",
            "fax_number": "217-344-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S VINE ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014220",
            "telephone_number": "217-344-6664",
            "fax_number": "217-344-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE LABS OF CHAMPAIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROSTHETIST ORTHOTIST",
        "authorized_official_telephone_number": "217-344-6664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "211000198",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "213000216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "082258",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01032029",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC CERTIFICATION",
            "identifier": "02628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI PROSTHETICS AND ORTHOTICS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nelson Onyekachukwu Okobia
• Onoja-Frederick Okwori, MD
• Ashleigh Oliveira, RDN, PHD
• William Olivero, M.D.
• Brent Olson, DO
• Latifa Omran
• Cindy Onumajuru, MD
• Chinedu C. Oranu, M.D
• Bruce Andrew Orkin, MD
• Wanda Raquel Ortiz Hernandez, LCPC

• Prosthetic/Orthotic Supplier in Urbana, IL
• Providers in Urbana, 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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.