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Contact Information

OPTIMA PROSTHETICS & ORTHOTICS, LLC
255 W. MOANA LANE SUITE 110
OPTIONAL
RENO, NV89509
 Phone: 775-750-7429
 Fax: 775-499-2707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for OPTIMA PROSTHETICS & ORTHOTICS, LLC

NPI Number 1730747189
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
NV Other NV20191397735 COMMERCIAL INSURANCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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