Optima Prosthetics & Orthotics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

OPTIMA PROSTHETICS & ORTHOTICS, LLC

Practice address

780 Smithridge Dr
Reno, NV 89502-5798

Phone

(775) 750-7429

Fax

(775) 499-2707

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

Stephen Kirk Wilson, CERTIFIED ORTHOTIST

Title

Ceo

Phone

(775) 750-7429

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

Locations

Practitioners 4

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.

• Diane Nybo Curry, APN

  • Pediatric Nurse Practitioner
  • Reno, NV
  • NPI 1033411582
  NPD (past)
• Philip David Malinas, M.D.

  • Psychiatry Physician
  • Reno, NV
  • NPI 1700934825
  NPD (past)
• Rose Angelica Taylor, APRN

  • Nurse Practitioner
  • Silver Springs, NV
  • NPI 1487168753
  NPD (past)
• Thomas Krochalis, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinsburg, WV
  • NPI 1912371717
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1730747189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SMITHRIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025798",
            "telephone_number": "775-229-2503",
            "fax_number": "775-499-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SMITHRIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025798",
            "telephone_number": "775-750-7429",
            "fax_number": "775-499-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-01-14",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-750-7429",
        "authorized_official_credential": "CERTIFIED ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "NV20191397735",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria-Veronica D Ong
• Onsight Reno PLLC (Onsight Reno)
• Okeychukwu Onwudiwe
• Megan Ashley Ooms
• Optic Gallery South Meadows LLC
• Optimum Home Health Services LLC
• Option Care Enterprises, Inc. (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Adisak Orachorn, RN
• Oracle Counseling Services, PLLC

• Prosthetist in Reno, NV
• Providers in Reno, NV by specialty
• Prosthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.