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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | COMMERCIAL INSURANCE | NV20191397735 | 01 |
Street Address |
2888 LAGUNA WAY |
City | SPARKS |
State | NV |
Zip Code | 89434-2622 |
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 Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
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. |
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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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.