OMNICARE LABS OF CHAMPAIGN INC
NPI 1972921302
Prosthetic/Orthotic Supplier in Mattoon, IL
NPI Status: Active since April 02, 2014
Contact Information
201 RICHMOND AVE E
STE 5
MATTOON, IL
ZIP 61938
Phone: (217) 235-6664
Fax: (217) 235-6655
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About OMNICARE LABS OF CHAMPAIGN INC
This page provides the complete NPI Profile along with additional information for Omnicare Labs Of Champaign Inc, a provider established in Mattoon, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1972921302 assigned on April 2014. The practitioner's primary taxonomy code is 335E00000X with license number 211000198 (IL). The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1972921302
- Provider Legal Name
- OMNICARE LABS OF CHAMPAIGN INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 201 RICHMOND AVE E STE 5 MATTOON, IL 61938
- Location Phone
- (217) 235-6664
- Location Fax
- (217) 235-6655
- Mailing Address
- 502 S VINE ST URBANA, IL 61801
- Mailing Phone
- (217) 344-6664
- Mailing Fax
- (217) 235-6655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-02-2014
- Last Update Date
- 05-23-2025
- Code Navigator
Omnicare Labs Of Champaign Inc is a medicare supplier with PTAN 20485715 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Neuromuscular Elect Stimulators (NMES)/Supplies or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 211000198
- License State
- IL
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier | 213000216 (IL) |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20485715
- Accepts Medicare Assignment
- NO
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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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. | |||||||||
| 1 | 9 | 7 | 2 | 9 | 2 | 1 | 3 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 18 | 2 | 2 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 8 + 2 + 2 + 3 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1972921302 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 1972921302, enumerated in the NPI registry as an "organization" on April 02, 2014
The provider is located at 201 Richmond Ave E Ste 5 Mattoon, Il 61938 and the phone number is (217) 235-6664
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
This NPI record was last updated on April 02, 2014. 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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