MEDICARE: INNOVATIVE ORTHOTICS AND PROSTHETICS OF LA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154399814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE ORTHOTICS AND PROSTHETICS OF LA, INC.

Provider Business Mailing Address
First Line	:	720 WILLIAMS BLVD
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70062-7638
Country	:	US
Telephone Number	:	504-464-5577
Fax Number	:	504-464-5677

Provider Business Practice Location Address
First Line	:	720 WILLIAMS BLVD
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70062-7638
Country	:	US
Telephone Number	:	504-464-5577
Fax Number	:	504-464-5677

Authorized Official
Title or Position	:	CERTIFIED PROSTHETIST/ORTHOTIST/
Name	:	MR. WILLIAM S LAYMAN
Credential	:	BOCPO, CPO
Telephone Number	:	504-464-5577

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	09/11/2025

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