Universe Optimax Inc

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

UNIVERSE OPTIMAX INC

Practice address

5632 Dempster St
Morton Grove, IL 60053-3100

Phone

(847) 414-5001

Fax

(877) 578-0906

NPI assigned

Jul 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johnny Hom

Title

Owner

Phone

(847) 414-5001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1023426756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600530162",
            "telephone_number": "847-414-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533100",
            "telephone_number": "847-414-5001",
            "fax_number": "877-578-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSE OPTIMAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-414-5001"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malgorzata Truchan
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• Nadine Trznadel, RN
• Andrew Tsay, DDS
• Leigh-Anne Tu
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• Deepa Vadakedom

• Nursing Facility Supplies (DME) in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Nursing Facility Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.