ORTHOTICS & PROSTHETICS EAST INC NPI 1790736379

NPI Information

NPI: 1790736379
Provider Name: ORTHOTICS & PROSTHETICS EAST INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1025 WH SMITH BLVD
SUITE 108
GREENVILLE, NC
ZIP 27834
Phone: (252) 215-2215
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ORTHOTICS & PROSTHETICS EAST INC is a customized equipment durable medical equipment medical supplies in Greenville, NC. ORTHOTICS & PROSTHETICS EAST INC NPI is 1790736379. The provider is registered as an organization entity type.

The provider's business location address is:

1025 WH SMITH BLVD
SUITE 108
GREENVILLE, NC
ZIP 27834-052
Phone: (252) 215-2215
Fax: (252) 215-2216

The provider's authorized official is Richard Shane Coltrain .
The authorized official title is President and has the following contact phone number (252) 215-2215.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	335E00000X	Prosthetic/Orthotic Supplier		No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0464J	OTHER	NORTH CAROLINA	BCBS NC #
2	7704508	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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