MEDICARE: MR. DANIEL OSTERMANN II BME

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	222Z00000X	Orthotist
2	156FX1900X	Orthoptist

General Provider Information

NPI Number	:	1902605975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL OSTERMANN II BME

Provider Business Mailing Address
First Line	:	5619 OLD DOMINION RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-4214
Country	:	US
Telephone Number	:	706-315-0708
Fax Number	:

Provider Business Practice Location Address
First Line	:	4216 MERITAS DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6257
Country	:	US
Telephone Number	:	916-880-8387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

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

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