An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1730747189 |
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| LBN Legal business name | OPTIMA PROSTHETICS & ORTHOTICS, LLC | ||||
| Authorized official | STEPHEN WILSON - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/31/2019 | ||||
| Last updated | 01/14/2021 - About 5 years ago | ||||
| Identifiers |
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