OPTECH ORTHOTICS & PROSTHETICS CORP (NPI# 1609914860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609914860 |
| Entity Type | Organization |
| Organization Name | OPTECH ORTHOTICS & PROSTHETICS CORP |
| Practice Address |
121 Springfield Ave Joliet IL 60435 |
| Practice Telephone | 8157419700 |
| Practice Fax Number | 8157414701 |
| Mailing Telephone | 8157419700 |
| Mailing Fax Number | 8157414701 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | MR. MARTIN B MCNAB (CERTIFIED ORTHOTIST PROSTHOTIST) |
| Authorized Official Telephone | 8159328564 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 04622011 | 01 | |
| NORTHWOOD UHC | 80543 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194919167 | Optech Orthotics & Prosthetics Corp | Prosthetic/Orthotic Supplier | 111 W Jackson St, Morris, IL 60450 | 2007-08-31 |
| 1750359048 | Optech Orthotics & Prosthetics Corp | Prosthetic/Orthotic Supplier | 119 E Court St Ste 100, Kankakee, IL 60901-3823 | 2006-03-10 |
| Street Address |
121 SPRINGFIELD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477839710 | Optech Orthotics & Prosthetics Services Ltd. | Prosthetic/Orthotic Supplier | 121 Springfield Ave, Joliet, IL 60435 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649322512 | Md Orthotic and Prosthetic Lab | Prosthetic/Orthotic Supplier | 227 N Hammes Ave, Joliet, IL 60435 | 2007-01-18 |
| 1750498366 | Bioconcepts Inc | Prosthetic/Orthotic Supplier | 10 Fairlane Dr, Joliet, IL 60435-5484 | 2006-08-23 |
| 1255792180 | Keltic Limb and Brace, Inc. | Prosthetic/Orthotic Supplier | 1316 Black Rd, Joliet, IL 60435-3962 | 2016-03-20 |
| 1063878965 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2016-01-07 |
| 1154787059 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1240 Essington Rd, Joliet, IL 60435-8408 | 2016-01-07 |
| 1790140531 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 330 Madison St, Suite 103, Joliet, IL 60435-6565 | 2015-12-21 |
| 1477839710 | Optech Orthotics & Prosthetics Services Ltd. | Prosthetic/Orthotic Supplier | 121 Springfield Ave, Joliet, IL 60435 | 2011-11-01 |
| 1669676805 | A Womans Place Inc | Prosthetic/Orthotic Supplier | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
| 1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
| 1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.