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OMNICARE LABS OF CHAMPAIGN INC
NPI 1972921302
Prosthetic/Orthotic Supplier in Mattoon, IL

Active since April 02, 2014
201 RICHMOND AVE E, STE 5, MATTOON, IL 61938(217) 235-6664(217) 235-6655 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omnicare Labs Of Champaign Inc NPPES

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

OMNICARE LABS OF CHAMPAIGN INC (NPI 1972921302), doing business as Omni Prosthetics And Orthotics, is a healthcare organization registered as a prosthetic/orthotic supplier in Mattoon, Illinois and active in the NPI registry since April 2014. The organization lists William R Devlin, President Cpo/l, as its authorized official.

NPPES Registry Identity

NPI1972921302
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameOMNICARE LABS OF CHAMPAIGN INC
Location Address201 RICHMOND AVE E, STE 5Mattoon, IL 61938-4665
Mailing Address502 S Vine StUrbana, IL 61801-4220 · (217) 344-6664 · Fax (217) 344-9282
Phone(217) 235-6664
Fax(217) 235-6655
Organization SubpartYesParent: Omnicare Labs Of Champaign
Authorized OfficialWilliam R DevlinPresident Cpo/l · (217) 344-6664
Enumeration DateApril 2, 2014
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1972921302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Licenses✔ Licensed in IL · 211000198✔ Licensed in IL · 213000216
Definition

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.

201 RICHMOND AVE E, Mattoon, IL 61938
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Other Names 1

Doing Business AsOmni Prosthetics And Orthotics

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

Frequently Asked Questions

What is OMNICARE LABS OF CHAMPAIGN INC's NPI number?

The NPI number assigned to this healthcare provider is 1972921302, enumerated as an "organization" on April 02, 2014.

Where is the provider located?

The provider is located at 201 RICHMOND AVE E STE 5 MATTOON, IL 61938 and the phone number is (217) 235-6664.

What is the provider's specialty?

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.