# OPTIMA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPTIMA PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568366797
- **Legal business name:** OPTIMA PC
- **Authorized official:** JENNA B MACKAY DPM (OWNER/PRESIDENT)
- **Authorized official phone:** (509) 751-7254

## Contact information

- **Practice address:** 1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
- **Practice address phone:** (541) 383-3668
- **Practice address fax:** (541) 383-4546
- **Mailing address:** 1506 NE WILLIAMSON BLVD, BEND, OR 97701-6071
- **Mailing address phone:** (541) 383-3668
- **Mailing address fax:** (541) 383-4546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2026
- **Last updated:** 10/02/2026