NPIMap

Organization Active NPI

Optimus LLC

  • Prosthetic/Orthotic Supplier
  • Columbus, OH
National Provider Identifier
1780926386
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
LPO.11 Issued in OH
Legal business name
OPTIMUS LLC
Practice address
975 Bethel Rd
Columbus, OH 43214
Phone
(614) 263-5462
Fax
(614) 263-6770
NPI assigned
Mar 21, 2013
Organization subpart
Yes
Parent organization
OPTIMUS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
John Brandt, CPO
Title
Owner
Phone
(937) 454-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X LPO.11 OH Primary

Addresses

Primary practice location

975 Bethel Rd
Columbus, OH 43214

Mailing address

975 Bethel Rd
Columbus, OH 43214-1905
Phone (614) 263-5462

Other names 1

  • Optimus Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000540 OH DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5395949143 Practice locations: Columbus, OH

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Optimus LLC975 Bethel Rd, Columbus, OH 43214-1905(614) 263-5462 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Optimus Prosthetics5 organizations share this tax ID, including this one
Part of
Optimus Prosthetics

Other organizations with this tax ID 4

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

Locations

975 Bethel Rd
Columbus, OH 43214
Phone (614) 263-5462

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1780926386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141905",
            "telephone_number": "614-263-5462",
            "fax_number": "614-263-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-263-5462",
            "fax_number": "614-263-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUS LLC",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-454-1900",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO.11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimus Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimus Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.