OrganizationActive
Hagopian Shoes, LLC
NPI 1760418099 · Prosthetic/Orthotic Supplier · Wood River, IL
Provider details
- NPI number
- 1760418099
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Andrew Hagopian, Owner(618) 254-0276
- License
- 212000071 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
48 E Ferguson Ave
Wood River, IL 62095
Phone: (618) 254-0276
Fax: (618) 254-1233
Street-level locationGet directions
Mailing address
48 E Ferguson Ave
Wood River, IL 62095
Other names (DBA / former)
- Doing business as
- Cleary'S Shoes & Boots
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2018-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.