Ajc Software Inc – Prosthetic/Orthotic Supplier

Key facts

NPI: 1962964809
Entity type: Organization (NPI type 2)
Primary specialty: Prosthetic/Orthotic Supplier 335E00000X
Legal business name: AJC SOFTWARE INC
Practice address: 1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362
Phone: (407) 665-2522
Fax: (407) 664-2522
NPI assigned: Apr 1, 2019
Organization subpart: Yes
Parent organization (as reported): AJC SOFTWARE INC

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Supplier	Supplies	Medicare assignment
Jr Orthotics 1261 Winter Garden Vineland Rd, Winter Garden, FL 34787-4362 · (407) 664-2522	Blood Glucose Monitors/Supplies (Non-Mail Order)\|Blood Glucose Monitors/Supplies (Mail Order)\|Heat & Cold Applications\|Negative Pressure Wound Therapy Pumps/Supplies\|Orthoses: Custom Fabricated\|Orthoses: Prefabricated (Non-Custom Fabricated)\|Orthoses: Off-The-Shelf\|Ostomy Supplies\|Limb Prostheses\|S…	Does not accept assignment Participating since Jun 26, 2008

Enrollment ID	State	Provider type	PAC ID	Details
O20190613000641	FL	DME Supplier - Medical Supply Company With Orthotic-Prosthetic DME Supplier - Medical Supply Company With Orthotic Personnel DME Supplier - Medical Supply Company With Prosthetic Personnel DME Supplier - Prosthetic Personnel DME Supplier - Pedorthic Personnel DME Supplier - Medical Supply Company With Pedorthic Personnel	9638376320	Practice locations: Winter Garden, FL

7512 Dr Phillips Blvd
Ste 50-244
Orlando, FL 32819

1261 Winter Garden Vineland Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 664-2522

143 El Tuque Industrial Park
Ponce, PR 00728
Phone (787) 492-0020

Optimum HealthCare HMO Network
Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
Freedom Health HMO Network
Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialty (taxonomy)	Code	License	State	Primary
Prosthetic/Orthotic Supplier	335E00000X			Yes

1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362

7512 Dr. Phillips Boulevard #50-244
Orlando, FL 32819
Phone (787) 317-4702

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

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