Optimum Vitality Medical Group

LBN: Optimum Vitality Medical Group
Optimum Vitality Medical Group is an health care organization with primary practice located at 464 Richmond Rd Ste 202 , Richmond Heights OH 44143-2704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Optimum Vitality Medical Group can be contacted via phone (330) 824-4200, or through Black, Kelli via phone (216) 750-3427.

Contact Information

Primary practice address
464 Richmond Rd Ste 202 Richmond Heights OH 44143-2704
Phone: (330) 824-4200
Fax: (440) 525-5564
Website:
Map and Directions
Authorized official contact:
Name: Black, Kelli
Phone: (216) 750-3427

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1780232843
LBN Legal business name Optimum Vitality Medical Group
DBA Doing business as
Authorized official Black, Kelli
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2019
Last updated Aug 30th, 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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