Optimal Wound Solutions LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

OPTIMAL WOUND SOLUTIONS LLC

Practice address

91-1246 Kaikohola St
Ewa Beach, HI 96706-6231

Phone

(808) 772-0291

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Pennington, PT, CWS

Title

Founder / President

Phone

(808) 772-0291

Specialties & licenses 2

Addresses

Other names 1

• Optimal Wound Solutions Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1124626098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1246 KAIKOHOLA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066231",
            "telephone_number": "808-772-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1246 KAIKOHOLA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066231",
            "telephone_number": "808-772-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WOUND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FOUNDER / PRESIDENT",
        "authorized_official_telephone_number": "808-772-0291",
        "authorized_official_credential": "PT, CWS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EwaBeach",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "91-1246 Kaikohola St",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967066231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EwaBeach",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "91-1246 Kaikohola St",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967066231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optimal Wound Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia Mercado Ona, M.D.
• Jonathan Ong
• Kayla Mana O'Lana Garo Ongoy
• Tomifumi Onishi, M.D
• Queen Victoria Opol
• Erlinda D Ortal, CCFFH OPERATOR
• Mary Ellayn Ortal
• Merrie Oshiro
• Chenoa R Otero Berdecia
• Rodgers Otieno

• Multi-Specialty Clinic/Center in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Multi-Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.