Organization Active NPI

Optimal Choice Group Inc

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1174859268
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24156 Issued in NC
Legal business name
OPTIMAL CHOICE GROUP INC
Practice address
15105 John J Delaney Dr
Suite D 29
Charlotte, NC 28277-2847
Phone
(704) 756-1963
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Jeffrey W Furman
Title
Ceo
Phone
(704) 756-1963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 24156 NC Primary

Addresses

Primary practice location

15105 John J Delaney Dr
Suite D 29
Charlotte, NC 28277-2847

Mailing address

15105 John J Delaney Dr
Suite D 29
Charlotte, NC 28277-2847

National Provider Directory

National Provider Directory

Locations

15105 John J Delaney Dr
Ste D
Charlotte, NC 28277
Phone (704) 756-1963

15105 John J Delaney Dr
#D29
Charlotte, NC 28277
Phone (704) 756-1963

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1174859268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE D 29",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE D 29",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847",
            "telephone_number": "704-756-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHOICE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "FURMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-756-1963"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.