OPTIMA PC NPI 1568366797

NPI Information

  • NPI: 1568366797
  • Provider Name: OPTIMA PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • :
  • Address: 1245 NW 4TH ST STE 201
    REDMOND, OR
    ZIP 97756
  • Phone: (541) 383-3668

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NPI Details

OPTIMA PC is a foot and ankle surgery podiatrist in Redmond, OR. OPTIMA PC NPI is 1568366797. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1245 NW 4TH ST STE 201
REDMOND, OR
ZIP 97756-680
Phone: (541) 383-3668
Fax: (541) 383-4546

The provider's authorized official is Jenna B Mackay .
The authorized official title is Owner/president and has the following contact phone number (509) 751-7254.

The enumeration date for this NPI number is 10/2/2026 and was last updated on 10/2/2026.

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
1213ES0000XPodiatristSports MedicineNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

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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