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O & P CUSTOM LLC NPI 1336242544


NPI Information

NPI: 1336242544
Provider Name: O & P CUSTOM, LLC

Doing Business As: DAVIS LIMB & BRACE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
939 S DECATUR BLVD
LAS VEGAS, NV
ZIP 89107
Phone: (702) 270-3200
Get Directions

O & P CUSTOM, LLC is a prosthetic orthotic supplier in Las Vegas, NV. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. O & P CUSTOM, LLC NPI is 1336242544. The provider is registered as an organization entity type.
The provider Is Doing Business As Davis Limb & Brace.

The provider's business location address is:

939 S DECATUR BLVD
LAS VEGAS, NV
ZIP 89107-918
Phone: (702) 270-3200
Fax: (702) 870-3203

The provider's authorized official is Darren R Davis .
The authorized official title is CP AND MANAGING MEMBERAnd Managing Member and has the following contact phone number (702) 270-3200.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15364850001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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