NPI age
19 years
Enumerated 2007-01-17
● Active Type 2 · Organization
Lilburn Shoe Repair & Pedorthics Inc
Lilburn Shoe Repair & Pedorthics Inc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leandro
Owner
Last NPPES update
2021-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4760 Lawrenceville Hwy Nw, Suite C-1
Lilburn, GA 300473858
Mailing address
2605 Sims Crest Ct
Snellville, GA 300784161
Authorized official
Jackie Yvonne Leandro
Owner
📞 7709310823
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Leandro, C.PED Contractor NPI 1053317867
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | L937 | KAISER PERMANENTE ID |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lilburn Shoe Repair and Pedorthics inc
-
Lilburn Shoe Repair and Pedorthics inc
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.