Compression Stockings Plus Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

OT7106 AND OTA213 Issued in FL

Legal business name

COMPRESSION STOCKINGS PLUS INC.

Practice address

460 N. Ronald Reagan Blvd
Suite 206
Longwood, FL 32750

Phone

(407) 331-1314

Fax

(407) 650-3074

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By 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 Oyaghire Idehen, THERAPIST

Title

President

Phone

(407) 331-1314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760694814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N. RONALD REAGAN BLVD",
            "address_2": "SUITE 206",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-331-1314",
            "fax_number": "407-650-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N. RONALD REAGAN BLVD",
            "address_2": "SUITE 206",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-331-1314",
            "fax_number": "407-650-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPRESSION STOCKINGS PLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IDEHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "OYAGHIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-331-1314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "THERAPIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "OT7106 AND OTA213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.