Organization Active NPI

Optimal Care, LLC

  • Chiropractor
  • Laurel, MD
National Provider Identifier
1093820888
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02192 Issued in MD
Legal business name
OPTIMAL CARE, LLC
Practice address
14205 Park Center Dr Ste 207
Laurel, MD 20707-5252
Phone
(301) 362-5868
Fax
(301) 362-5869
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Marcia Boyce Levi, DCNPI 1518917376
Title
Owner/President
Phone
(301) 362-5868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 02192 MD Primary

Addresses

Primary practice location

14205 Park Center Dr Ste 207
Laurel, MD 20707-5252

Mailing address

14205 Park Center Dr Ste 207
Laurel, MD 20707-5252
Phone (301) 362-5868

Other identifiers 1

IdentifierTypeStateIssuer
348BOPOtherMDBCBS

Other names 1

  • Optimal Care Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000457 DC Part B Supplier - Clinic/Group Practice 7416974795 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Locations

14207 Park Center Dr
Ste 106
Laurel, MD 20707
Phone (301) 362-5868

8319 Cherry Ln
Laurel, MD 20707
Phone (301) 362-5868

14205 Park Center Dr
Ste 207
Laurel, MD 20707
Phone (301) 362-5868

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1093820888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-362-5868",
            "fax_number": "301-362-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 PARK CENTER DR STE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075252",
            "telephone_number": "301-362-5868",
            "fax_number": "301-362-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "BOYCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-362-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "348BOP",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.