Provider Demographics
NPI:1871017749
Name:ORTHOPEDIC APPLIANCE CO INC
Entity Type:Organization
Organization Name:ORTHOPEDIC APPLIANCE CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-254-6305
Mailing Address - Street 1:75 VICTORIA RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4419
Mailing Address - Country:US
Mailing Address - Phone:828-254-6305
Mailing Address - Fax:
Practice Address - Street 1:235 ST JOHN RD STE 100
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8335
Practice Address - Country:US
Practice Address - Phone:828-254-6305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier