NPIMap

Organization Active NPI

Optech Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Orland Park, IL
National Provider Identifier
1801129788
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OPTECH ORTHOTICS & PROSTHETICS, INC.
Practice address
18016 Wolf Rd
Orland Park, IL 60467-5407
Phone
(708) 364-9700
Fax
(815) 932-8640
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mrs. Gail Simpson
Title
Office Manager
Phone
(815) 932-8564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

18016 Wolf Rd
Orland Park, IL 60467-5407

Mailing address

138 N Schuyler Ave
Kankakee, IL 60901-3829
Phone (815) 932-8564

National Provider Directory

National Provider Directory
Tax ID family
Optech Orthotics Prosthetics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

138 N Schuyler Ave
Kankakee, IL 60901

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1801129788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N SCHUYLER AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013829",
            "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": "18016 WOLF RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675407",
            "telephone_number": "708-364-9700",
            "fax_number": "815-932-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTECH ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-932-8564",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.