OrganizationActive
Shoe Store, LLC
NPI 1669814406 · Prosthetic/Orthotic Supplier · Honeoye Falls, NY
Shoe Store, LLC is a Prosthetic/Orthotic Supplier organization in Honeoye Falls, NY (NPI 1669814406).
Provider details
- NPI number
- 1669814406
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Daran Bedenbaugh, Accounting Manager(352) 538-3376
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 N Main St
Honeoye Falls, NY 14472-1071
Phone: (180) 091-3746
Street-level locationGet directions
Mailing address
12 N Main St
Honeoye Falls, NY 14472-1071
Other names (DBA / former)
- Doing business as
- Oppedisano'S Bootery
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 2013-07-22
Frequently asked questions
- What is Shoe Store, LLC's NPI number?
- Shoe Store, LLC's National Provider Identifier (NPI) is 1669814406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoe Store, LLC?
- Shoe Store, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Shoe Store, LLC located?
- Shoe Store, LLC's practice location on file with NPPES is 12 N Main St, Honeoye Falls, NY 14472-1071.
- What is Shoe Store, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shoe Store, LLC is (180) 091-3746.
- Who is the authorized official for Shoe Store, LLC?
- The authorized official listed on Shoe Store, LLC's NPPES record is Daran Bedenbaugh, Accounting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoe Store, LLC's NPI active?
- Yes — Shoe Store, LLC's NPI (1669814406) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.