Healthcare Provider Details

I. General information

NPI: 1750152872
Provider Name (Legal Business Name): MACYOP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHAMBER WAY
WESTERLY RI
02891-2670
US

IV. Provider business mailing address

305 FLANDERS RD UNIT 6
EAST LYME CT
06333-1743
US

V. Phone/Fax

Practice location:
  • Phone: 860-333-5558
  • Fax: 860-333-1342
Mailing address:
  • Phone: 860-333-5558
  • Fax: 860-333-1342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: THOMAS H MORRISSEY
Title or Position: GENERAL MANAGER
Credential:
Phone: 508-588-6060