Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fred Antczak

Individual provider Orthotist · NPI 1649573676

Fred Antczak is an Orthotist in Omaha, Nebraska. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

17931 Pierce Plz
Omaha, NE 68130-2654
Phone: (402) 933-1393
Fax: (402) 933-1899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 2255 (VA)
Pedorthist Taxonomy 224L00000X · Licence 0675 (VA)
Orthotic Fitter Taxonomy 225000000X · Licence 2255 (VA)

Record details

NPI number1649573676
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2010
Last updated in NPPESDecember 14, 2010

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