Active NPI
Optima PC
- Foot & Ankle Surgery Podiatrist
- Prineville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- OPTIMA PC
- Practice address
- 384 SE Combs Flat Rd
Prineville, OR 97754-1299 - Phone
- (541) 383-3668
- Fax
- (541) 383-4546
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- Yes
- Parent organization
- OPTIMA PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenna Beth Mackay, DPM
- Title
- Owner/President
- Phone
- (509) 751-7254
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
384 SE Combs Flat Rd
Prineville, OR 97754-1299
Mailing address
1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 383-3668
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.
Practitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Bend, OR
- NPI 1689029936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1790689925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 NE WILLIAMSON BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-383-3668",
"fax_number": "541-383-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 SE COMBS FLAT RD",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541299",
"telephone_number": "541-383-3668",
"fax_number": "541-383-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTIMA PC",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "MACKAY",
"authorized_official_first_name": "JENNA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "509-751-7254",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.