Optimum Medical Supply

LBN: Optimum Medical Supply, Inc
Optimum Medical Supply is an health care organization with primary practice located at 2797 S Maryland Pkwy Ste 13 , Las Vegas NV 89109-1576. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Optimum Medical Supply, Inc can be contacted via phone (702) 796-7772, or through Ojo, Philip Ade via phone (702) 796-7772.

Contact Information

Primary practice address
2797 S Maryland Pkwy Ste 13 Las Vegas NV 89109-1576
Phone: (702) 796-7772
Fax: (702) 796-7773
Website:
Map and Directions
Authorized official contact:
Name: Ojo, Philip Ade
Phone: (702) 796-7772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1548229610
LBN Legal business name Optimum Medical Supply, Inc
DBA Doing business as Optimum Medical Supply
Authorized official Ojo, Philip Ade
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2006
Last updated Mar 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548229610 NPPES
Nevada MEDICAID 100500013

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