Provider Demographics
NPI:1194497453
Name:OPEN BIONICS INC
Entity type:Organization
Organization Name:OPEN BIONICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISET
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, MSPO
Authorized Official - Phone:720-417-8698
Mailing Address - Street 1:200 UNION BLVD STE 440
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1812
Mailing Address - Country:US
Mailing Address - Phone:720-417-8698
Mailing Address - Fax:720-640-0405
Practice Address - Street 1:200 UNION BLVD STE 440
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1812
Practice Address - Country:US
Practice Address - Phone:720-417-8698
Practice Address - Fax:720-640-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty