LAKE NORMAN ORTHOTICS & PROSTHETICS, INC (NPI# 1578548426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578548426 |
| Entity Type | Organization |
| Organization Name | LAKE NORMAN ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
1095 S Highway 16 Stanley NC 28164-8709 |
| Practice Telephone | 7048228005 |
| Practice Fax Number | 7048228828 |
| Mailing Telephone | 7048228005 |
| Mailing Fax Number | 7048228828 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | MR. KURT F BEYER (OWNER) |
| Authorized Official Telephone | 7048228005 |
| Authorized Official Credential | C.P.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
2673 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7703034 | 05 | |
| NC | CIGNA | 6487083 | 01 |
| NC | BCBS | 046AJ | 01 |
| Street Address |
1095 S HIGHWAY 16 |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891738381 | Kurt F Beyer | Orthotist | 1095 S Highway 16, Stanley, NC 28164-8709 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| Find all providers in zip 28164 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
| 1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKE NORMAN ORTHOTICS & PROSTHETICS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.