MEDICARE: MACYOP LLC

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

General Provider Information

NPI Number	:	1750152872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACYOP LLC

Provider Business Mailing Address
First Line	:	305 FLANDERS RD UNIT 6
Second Line	:
City	:	EAST LYME
State	:	CT
Zip	:	06333-1743
Country	:	US
Telephone Number	:	860-333-5558
Fax Number	:	860-333-1342

Provider Business Practice Location Address
First Line	:	1 CHAMBER WAY
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2670
Country	:	US
Telephone Number	:	860-333-5558
Fax Number	:	860-333-1342

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	THOMAS H MORRISSEY
Credential	:
Telephone Number	:	508-588-6060

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/13/2026

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Directions to “MACYOP LLC ” Practice Location

Language	Start Address	Practice Location

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