Optima Neurological Services

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0072689 Issued in FL

Legal business name

OPTIMA NEUROLOGICAL SERVICES

Practice address

5318 SW 91St Ter
Suite B
Gainesville, FL 32608-8125

Phone

(352) 375-5553

Fax

(352) 505-5506

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

James Chris Sackellares, M.D.

Title

Chief Medical Officer

Phone

(352) 375-5553

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ayyamperumal Jeyaprakash, PH. D.

  • Laboratory Management Specialist/Technologist
  • Gainesville, FL
  • NPI 1174807531
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1194950949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 SW 91ST TER",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088125",
            "telephone_number": "352-375-5553",
            "fax_number": "352-505-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 SW 91ST TER",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088125",
            "telephone_number": "352-375-5553",
            "fax_number": "352-505-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA NEUROLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "SACKELLARES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "352-375-5553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0072689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373950300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eittel Oppenheimer Gonzalez, MD, FACS
• Frances Lynn Oppenheimer, RN, LMT
• Opportuno Transport Service Inc
• Optical Laboratory LLC
• Optical Laboratory, LLC
• Optimal Education LLC
• Optimize Massage Therapy, LLC
• Optimized Psychological Consulting LLC
• Optimom Lactation Services, LLC.
• Kathryne Ellen Opton, M ED., LMT, NASM-CPT

• Medical Specialty Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.