Organization
ISLAND PROSTHETICS & ORTHOTICS, INC.
Active
Organization
ISLAND PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E. MATHEWS LCP (OWNER)
(360) 678-4700
Entity
Organization
Contact information
Practice address
80 N. MAIN ST, SUITE C, COUPEVILLE, WA 98239
(360) 678-4700
(360) 678-4711
Mailing address
6921 HIGH POINT DR, CLINTON, WA 98236-8702
(360) 678-4700
(360) 678-4711
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
602433234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143888
LABOR & INDUSTRIES, WA
WA
01
—
5780IS
REGENCE BLUE SHIELD
WA
05
—
9052986
—
WA
Enumeration date
05/10/2006
Last updated
03/26/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up