OPTIMUM MEDICAL HEALTHCARE (NPI# 1245571272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245571272 |
| Entity Type | Organization |
| Organization Name | OPTIMUM MEDICAL HEALTHCARE |
| Practice Address |
1715 Cedar Shoals Drive Athens GA 30605 |
| Mailing Address |
1715 Cedar Shoals Dr Athens GA 30605-3456 |
| Practice Telephone | 4045489099 |
| Mailing Telephone | 4045489099 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | BRUCE TATLOR (MANAGER) |
| Authorized Official Telephone | 7064862481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | GA 345679 | GA | Suppliers |
| Street Address |
1715 CEDAR SHOALS DRIVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| 1861667354 | Joan Elizabeth Quinn | Counselor | 2085 S. Milledge Ave, Athens, GA 30605 | 2008-04-25 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881245926 | First Care Health Pllc | Durable Medical Equipment & Medical Supplies | 509c W Madison Ave, Athens, TN 37303-3489 | 2019-09-20 |
| 1588122394 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1101 Old Creek Rd Ste A1, Athens, GA 30607-1090 | 2019-03-11 |
| 1164883757 | Georgia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 170 West Broad St, Athens, GA 30601-2815 | 2016-03-10 |
| 1750747432 | Dme Assistance | Durable Medical Equipment & Medical Supplies | 355 Sarah Dr, Athens, GA 30606-1674 | 2016-01-11 |
| 1043681604 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3130 Atlanta Hwy, Athens, GA 30606-6977 | 2015-10-08 |
| 1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
| 1972984813 | Scooter Repair Center Plus | Durable Medical Equipment & Medical Supplies | 4719 Atlanta Hwy, Athens, GA 30606-0716 | 2015-06-16 |
| 1528448883 | Mobility Repair Medical | Durable Medical Equipment & Medical Supplies | 315 E Meadow Dr, Athens, GA 30605-6204 | 2015-06-02 |
| 1710392980 | Physicians American Medical | Durable Medical Equipment & Medical Supplies | 571 Whitehead Rd Unit 3, Athens, GA 30606 | 2014-06-26 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.