Provider Demographics
NPI:1376580944
Name:ORPRO INC
Entity Type:Organization
Organization Name:ORPRO INC
Other - Org Name:ORPRO PROSTHETICS & ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOMONTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-863-1951
Mailing Address - Street 1:18022 COWAN
Mailing Address - Street 2:SUITE 285
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6814
Mailing Address - Country:US
Mailing Address - Phone:949-863-1951
Mailing Address - Fax:949-863-1419
Practice Address - Street 1:1051 SUMMIT DRIVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3464
Practice Address - Country:US
Practice Address - Phone:513-422-4522
Practice Address - Fax:513-423-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2158712Medicaid
0203260011Medicare ID - Type Unspecified