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OPTIMUM FOOT CARE NPI 1063854743


NPI Information

NPI: 1063854743
Provider Name: OPTIMUM FOOT CARE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
8000 IH 10 W
SUITE 600
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 417-5353
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OPTIMUM FOOT CARE is a prosthetic orthotic supplier in San Antonio, TX. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. OPTIMUM FOOT CARE NPI is 1063854743. The provider is registered as an organization entity type.

The provider's business location address is:

8000 IH 10 W
SUITE 600
SAN ANTONIO, TX
ZIP 78230-802
Phone: (210) 417-5353

The provider's authorized official is Ernest H Wallace .
The authorized official title is Owner-president and has the following contact phone number (757) 503-2196.

The enumeration date for this NPI number is 7/23/2013 and was last updated on 8/8/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
3335E00000XProsthetic/Orthotic SupplierYes

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

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