OLD DOMINION PROSTHETICS & ORTHOTICS INC. NPI 1316120546

NPI Information

NPI: 1316120546
Provider Name: OLD DOMINION PROSTHETICS & ORTHOTICS, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
612 RIO RD W
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 973-6209
Get Directions

OLD DOMINION PROSTHETICS & ORTHOTICS, INC. is a customized equipment durable medical equipment medical supplies in Charlottesville, VA. OLD DOMINION PROSTHETICS & ORTHOTICS, INC. NPI is 1316120546. The provider is registered as an organization entity type.

The provider's business location address is:

612 RIO RD W
CHARLOTTESVILLE, VA
ZIP 22901-412
Phone: (434) 973-6209
Fax: (434) 973-1774

The provider's authorized official is Catherine Garrison .
The authorized official title is Manager and has the following contact phone number (434) 973-6209.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment		VIRGINIA	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	106977	OTHER	VIRGINIA	ANTHEM
2	0349130001	MEDICARE NSC	VIRGINIA

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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