Organization · Type 2 NPI

Optima PC

Foot & Ankle Surgery Podiatrist · Prineville, OR

NPI number 1790689925 Active

Practice location

384 SE Combs Flat Rd
Prineville, OR 97754-1299

Fax (541) 383-4546

Mailing address

1506 NE Williamson Blvd
Bend, OR 97701-6071

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine Podiatrist 213ES0000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1790689925

Optima PC's National Provider Identifier is 1790689925, issued on Oct 2, 2026. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Prineville, OR. The record was last updated on Oct 13, 2026.