NPI 1063854743
Optimum Foot Care
Practice location
- Address
- 8000 Ih 10 W Suite 600, San Antonio, TX 78230-3802
- Phone
- (210) 417-5353
- Mailing address
- 4836 Walters Cir Unit a, Fort Sill, OK 73503-5010
Authorised official
- Name
- Ernest H Wallace
- Title
- Owner-President
- Phone
- (757) 503-2196
Registered specialties (3)
Prosthetic/Orthotic Supplier
Primary
Customized Equipment (DME)
Oxygen Equipment & Supplies (DME)
Registry record
- NPI
- 1063854743
- Entity type
- Organization
- NPI issued
- 23 Jul 2013
- Record last updated
- 8 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.