Provider Demographics
NPI:1366821571
Name:ORTHOTIC PROSTHETIC CENTER, INC
Entity Type:Organization
Organization Name:ORTHOTIC PROSTHETIC CENTER, INC
Other - Org Name:OPC EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-531-2222
Mailing Address - Street 1:419 N REYNOLDS ROAD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615
Mailing Address - Country:US
Mailing Address - Phone:419-531-2222
Mailing Address - Fax:419-531-2359
Practice Address - Street 1:860 ANSONIA ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616
Practice Address - Country:US
Practice Address - Phone:419-690-2653
Practice Address - Fax:419-690-2703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier