PETERSON'S ORTHOTIC LAB
NPI 1568758282
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bend, OR

NPI Status: Active since June 21, 2011

Contact Information

900 SE WILSON AVE
SUITE F
BEND, OR
ZIP 97702
Phone: (541) 647-1108
Fax: (541) 647-2162

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About PETERSON'S ORTHOTIC LAB

This page provides the complete NPI Profile along with additional information for Peterson's Orthotic Lab, a provider established in Bend, Oregon operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1568758282 assigned on June 2011. The practitioner's primary taxonomy code is 332BC3200X with license number C15236 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Peterson's Orthotic Lab. The authorized official of this NPI record is Mr. Scott William Peterson C. Ped., C. O. (President)

NPI
1568758282
Provider Legal Name
PETERSON PERFORMANCE PRODUCTS INC
Other Organization Name
PETERSON'S ORTHOTIC LAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 SE WILSON AVE SUITE F BEND, OR 97702
Location Phone
(541) 647-1108
Location Fax
(541) 647-2162
Mailing Address
900 SE WILSON AVE SUITE F BEND, OR 97702
Mailing Phone
(541) 647-1108
Mailing Fax
(541) 647-2162
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2011
Last Update Date
06-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers
License No.
C15236
License State
OR

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SCOTT WILLIAM PETERSON C. PED., C. O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 647-1108

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568758282
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512814516216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 1 + 6 + 2 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1568758282 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568758282, enumerated in the NPI registry as an "organization" on June 21, 2011

The provider is located at 900 Se Wilson Ave Suite F Bend, Or 97702 and the phone number is (541) 647-1108

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment

This NPI record was last updated on June 21, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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