Organization
ORTHOPEDIC APPLIANCE CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN E AYCOCK CPO (OWNER)
(828) 254-6305
Entity
Organization
Contact information
Practice address
75 VICTORIA RD, ASHEVILLE, NC 28801-4419
(828) 254-6305
(828) 254-6110
Mailing address
75 VICTORIA RD, ASHEVILLE, NC 28801-4419
(828) 254-6305
(828) 254-6110
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
00148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04916
BCBS OF NC
NC
05
—
7700122
—
NC
Enumeration date
06/01/2005
Last updated
12/21/2022
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