John Imm Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOHN IMM PROSTHETICS, LLC

Practice address

3 W Garden St Ste 404
Pensacola, FL 32502-5633

Phone

(850) 380-8184

Fax

(850) 434-1830

NPI assigned

Aug 18, 2011

Last updated

May 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Toby Imm, B.C.O.NPI 1154525616

Title

Ocularist/Owner

Phone

(850) 380-8184

Specialties & licenses 1

Addresses

Member of 1

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

• Gene Terrezza OD and Associates PA

  • Optometrist
  • Milton, FL
  • NPI 1902802911

  Member Of

  NPD member

Locations

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.

• John Toby Imm, B.C.O.

  • Orthotic Fitter
  • Pensacola, FL
  • NPI 1154525616
  Authorized official Same address or phone

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1750661005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5593 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704344",
            "telephone_number": "850-380-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W GARDEN ST STE 404",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025633",
            "telephone_number": "850-380-8184",
            "fax_number": "850-434-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Azalea Rd",
            "address_2": "Building 1, Ste 408",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366091970",
            "country_code": "US",
            "telephone_number": "850-380-8184",
            "fax_number": "850-434-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN IMM PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "IMM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TOBY",
        "authorized_official_title_or_position": "OCULARIST/OWNER",
        "authorized_official_telephone_number": "850-380-8184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Tucker M D P a
• John Axley M D P a
• John C. Gilmore, Jr., D.M.D., P.a. (Gilmore Family Dentistry)
• John G Brown P a
• John H Brown Jr MD PC
• John L. Luetkemeyer, M.D.
• Marie Elizabeth John, M.D
• Randy Joe Johns, PHARMD
• Alan D Johnson, PHARM.D.
• Amber G Johnson, STUDENT APRN

• Prosthetic/Orthotic Supplier in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.