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
Mailing address17931 Pierce Plz, Omaha, NE 68130-2654

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