Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.
NPI 1770947897
Durable Medical Equipment & Medical Supplies in West Milwaukee, WI

Q: What is Great Lakes Orthotics & Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 06, 2016

1670 MILLER PARK WAY, WEST MILWAUKEE, WI 53214(414) 897-8380(262) 436-1711 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2026, Apr 19, 2021 (2 updates tracked since 2021).

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About Great Lakes Orthotics & Medical Supply, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC. (NPI 1770947897) is a healthcare organization registered as a durable medical equipment & medical supplies in West Milwaukee, Wisconsin and active in the NPI registry since April 2016. The organization lists Michael Seamus Buggy, President, as its authorized official.

NPPES Registry Identity

NPI1770947897

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameGREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.

Location Address1670 MILLER PARK WAYWest Milwaukee, WI 53214-3604

Mailing Address1670 Miller Park WayWest Milwaukee, WI 53214-3604 · (414) 897-8380 · Fax (262) 436-1711

Phone(414) 897-8380

Fax(262) 436-1711

Organization SubpartNo

Authorized OfficialMichael Seamus BuggyPresident · (414) 828-9256

Enumeration DateApril 6, 2016

Last NPPES UpdateAugust 9, 20262 updates tracked since enumeration

NPPES CertifiedAugust 9, 2026

✔ NPI 1770947897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1670 MILLER PARK WAY, West Milwaukee, WI 53214

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Other Identifiers 1

Medicaid100063060WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Orthotics & Medical Supply, Inc.'s NPI number?

The NPI number for Great Lakes Orthotics & Medical Supply, Inc. is 1770947897. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Great Lakes Orthotics & Medical Supply, Inc. located?

Great Lakes Orthotics & Medical Supply, Inc. is located at 1670 Miller Park Way, West Milwaukee, WI 53214. The listed phone number is (414) 897-8380.

What is Great Lakes Orthotics & Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Great Lakes Orthotics & Medical Supply, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Great Lakes Orthotics & Medical Supply, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthotics & Medical Supply, Inc. was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.