Organization
ORTHOTIC & PROSTHETIC SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R. HECKMAN (VICE-PRESIDENT)
(216) 531-2773
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS BOLWELL #5014, CLEVELAND, OH 44106-1716
(216) 531-2773
(216) 531-5376
Mailing address
20650 LAKELAND BLVD, EUCLID, OH 44119-3241
(216) 531-2773
(216) 531-5376
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000155387
ANTHEM
OH
05
—
0209983
—
OH
Enumeration date
12/28/2006
Last updated
08/22/2020
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