OPTIMA PROSTHETICS & ORTHOTICS, LLC


Address: 2888 Laguna Way, Sparks, NV 89434-2622
Phone: 7757507429

OPTIMA PROSTHETICS & ORTHOTICS, LLC (NPI# 1730747189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730747189
Entity Type Organization
Organization Name OPTIMA PROSTHETICS & ORTHOTICS, LLC
Practice Address 2888 Laguna Way
Sparks
NV 89434-2622
Practice Telephone 7757507429
Practice Fax Number 7754992707
Mailing Telephone 7757507429
Mailing Fax Number 7754992707
Enumeration Date 2019-05-31
Last Update Date 2019-05-31
Authorized Official Name STEPHEN KIRK WILSON (CEO)
Authorized Official Telephone 7757507429
Authorized Official Credential CERTIFIED ORTHOT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV COMMERCIAL INSURANCE NV20191397735 01

Office Location

Street Address 2888 LAGUNA WAY
City SPARKS
State NV
Zip Code 89434-2622

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750992210 Erin Heffelfinger Rehabilitation Practitioner 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 2020-08-10
1568009892 Daniel Wesley Jacobson Home Health Aide 800 Nichols Bldv #222, Sparks, NV 89434 2019-12-05
1437649688 Barbara M Robinson Home Health Aide 1963 E. Prayer Way, Sparks, NV 89434 2018-05-14
1851788277 P6 Family Services LLC Case Management 2200 North D'andrea Pkwy #2411, Sparks, NV 89434 2015-04-23
1700188430 Etxea Services Community/Behavioral Health 741 Rancho Villa Drive, Sparks, NV 89434 2010-12-01
1194970640 Steven Joel Madison Registered Nurse 1999 Mania Court, Sparks, NV 89434 2008-11-25
1730342155 Raymond Miranda Duro Pharmacist 2375 East Prater Way Sparks, Sparks, NV 89434 2008-07-07
1124293436 Steve D Smith Hearing Instrument Specialist 1450 E Prater Way Ste 111, Sparks, NV 89434 2008-04-28
1437355799 Kristin Leigh Koetje Social Worker 310 Rue De La Lavanda, Sparks, NV 89434 2007-06-25
1063549582 Urology Institute Urology 2385 E Prater Way Suite 112, Sparks, NV 89434 2007-02-28
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205497369 Sharon L Kelly Prosthetist 20 Affonso Dr, Carson City, NV 89706-7815 2019-06-27
1235794595 Marquise D Dennis Prosthetist 1520 W. Sunset Rd, Henderson, NV 89014 2019-05-02
1154811883 Denise L Fairley Prosthetist 3980 Aspiration Ct, Las Vegas, NV 89147-6831 2018-05-17
1023391661 Scott David Forrester Prosthetist 615 Margrave Dr, Reno, NV 89502-3542 2011-09-20
1376730606 Robert D Burris Prosthetist 2649 Wigwam Pkwy Ste 104, Henderson, NV 89074-7310 2007-10-01
1861689101 Daniel A Leal Jr. Prosthetist 526 S Tonopah Dr Ste 120, Las Vegas, NV 89106-4044 2007-10-01
1982607800 Orthopro of Reno, Inc. Prosthetist 487 Casazza Dr, Reno, NV 89502-3388 2005-05-24
1629535810 Crystal Moon Prosthetist 354 S Decatur Blvd, Las Vegas, NV 89107-2804 2019-02-25
1376069229 Children's Orthotics and Prosthetics LLC Prosthetist 810 S Durango Dr Ste 100, Las Vegas, NV 89145-2487 2017-08-22
1588095897 Ladora Davis Prosthetist 6889 S Eastern Ave, Las Vegas, NV 89119 2013-12-12
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Competitor

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City SPARKS
Zip Code 89434

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Dataset Information

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.

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