Optimusmed, Llc

LBN: Optimusmed, Llc
Optimusmed, Llc is an health care organization with primary practice located at 1305 Lakes Pkwy Suite 109, Lawrenceville GA 30043-5886. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Optimusmed, Llc can be contacted via phone (770) 822-6787, or through Hobert, Kevin via phone (760) 795-5440.

Contact Information

Primary practice address
1305 Lakes Pkwy Suite 109 Lawrenceville GA 30043-5886
Phone: (770) 822-6787
Fax: (770) 822-6785
Website:
Map and Directions
Authorized official contact:
Name: Hobert, Kevin
Phone: (760) 795-5440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 000047 Georgia

Profile Details

NPI number 1124282108
LBN Legal business name Optimusmed, Llc
DBA Doing business as
Authorized official Hobert, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2008
Last updated Sep 19th, 2023 - about 2 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 1124282108 NPPES
Georgia MEDICAID 416145694B

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