LUMEN ORTHOTICS & PROSTHETICS NPI 1205680238

NPI Information

  • NPI: 1205680238
  • Provider Name: LUMEN ORTHOTICS & PROSTHETICS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 8902 STOCKBRIDGE PL
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (460) 450-4999

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NPI Details

LUMEN ORTHOTICS & PROSTHETICS is a prosthetic orthotic supplier in Fort Wayne, IN. 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. LUMEN ORTHOTICS & PROSTHETICS NPI is 1205680238. The provider is registered as an organization entity type.

The provider's business location address is:

8902 STOCKBRIDGE PL
FORT WAYNE, IN
ZIP 46804-454
Phone: (460) 450-4999

The provider's authorized official is Christopher T George .
The authorized official title is Certified Orthotist and has the following contact phone number (260) 450-4999.

The enumeration date for this NPI number is 4/16/2024 and was last updated on 1/22/2025.

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 License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/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: 11/21/2025

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