Provider Demographics
NPI:1841268232
Name:O.P.T INC
Entity type:Organization
Organization Name:O.P.T INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGNAZIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANCELLIERI
Authorized Official - Suffix:
Authorized Official - Credentials:ABCCO,BOCCO, CPED
Authorized Official - Phone:585-581-5490
Mailing Address - Street 1:186 RED HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4033
Mailing Address - Country:US
Mailing Address - Phone:585-581-5490
Mailing Address - Fax:585-227-8562
Practice Address - Street 1:1576 LONG POND RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4119
Practice Address - Country:US
Practice Address - Phone:585-581-5490
Practice Address - Fax:585-272-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPOPTINCROCHOtherMONROE PLAN
POPTINCROCHOtherBLUE CHOICE OF ROCHESTER
NYPOR186146OtherBC/BS RA
NY106375GDOtherPREFERRED CARE
NY106375AUOtherPREFERRED CARE
NY=========OtherTRICARE
NY106375AUOtherPREFERRED CARE
NY5081220002Medicare NSC