Optech Orthotics & Prosthetics Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

OPTECH ORTHOTICS & PROSTHETICS CORP

Practice address

119 E Court St Ste 100
Kankakee, IL 60901-3823

Phone

(815) 932-8564

Fax

(815) 932-8640

NPI assigned

Mar 10, 2006

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 Jr., CPO

Title

Certified Orthotist Prosthetist

Phone

(815) 932-8564

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1750359048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E COURT ST STE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013823",
            "telephone_number": "815-932-8564",
            "fax_number": "815-932-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E COURT ST STE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013823",
            "telephone_number": "815-932-8564",
            "fax_number": "815-932-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTECH ORTHOTICS & PROSTHETICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "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 PROSTHETIST",
        "authorized_official_telephone_number": "815-932-8564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "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": "BCBS",
            "identifier": "04622011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD UHC",
            "identifier": "80544",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Patrick Olofsson, MD
• Cheryl Ann Olofsson, RN
• John Andrew Olson, PT, DPT
• Margaret Ann Ondrey, RN, CNS
• One Hope United Norther Regn
• Optech Orthotics & Prosthetics Services, LTD
• Andrew Noel Pacheco
• Pain & Spine Institute, LLC
• Pain Care Center PC
• Dana Leona Palermo, LCPC

• Prosthetic/Orthotic Supplier in Kankakee, IL
• Providers in Kankakee, 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.