Odermatt Enterprises Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ODERMATT ENTERPRISES INC

Doing business as

Shoes That Fit

Practice address

2401 E Orangeburg Ave
Suite 535
Modesto, CA 95355-3351

Phone

(209) 337-0076

NPI assigned

Dec 6, 2006

Last updated

Jun 18, 2008By 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

Heidi Barbara Odermatt

Title

Owner

Phone

(209) 337-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHOES THAT FIT Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1952460867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045334",
            "telephone_number": "209-337-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE",
            "address_2": "SUITE 535",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553351",
            "telephone_number": "209-337-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODERMATT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ODERMATT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-337-0076"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER VENDOR NUMBER",
            "identifier": "0191089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOES THAT FIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melonie Leonor Ochoa
• Natalie Ochoa
• Christopher Oconnor
• Kathy Oda, PHARM D
• Fidah Odeh
• Chantelle Suzanne Odisho
• Sharon Renee Odom, M.S. MFT
• Odyssey for Personal Wellness Inc.
• Terra Dawn Oehler, M.S., BCBA
• Charlie Offerman, COTA/L

• Durable Medical Equipment & Medical Supplies in Modesto, CA
• Providers in Modesto, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.