MEDICARE: SURE FOOTING ORTHOTICS, 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	:	1477325892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURE FOOTING ORTHOTICS, LLC

Provider Business Mailing Address
First Line	:	11990 N HIGHWAY 99
Second Line	:
City	:	SEMINOLE
State	:	OK
Zip	:	74868-9411
Country	:	US
Telephone Number	:	405-303-6078
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 E I 240 SERVICE RD STE G
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-5809
Country	:	US
Telephone Number	:	405-931-2349
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANNE CARTER
Credential	:
Telephone Number	:	760-583-9517

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	03/10/2026

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