Optihealthmd, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16596 Issued in SC

Legal business name

OPTIHEALTHMD, LLC

Practice address

721 Long Point Rd Ste 403
Mount Pleasant, SC 29464-8298

Phone

(843) 442-8588

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Todd Hoover

Title

Manager

Phone

(843) 814-4171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1215434931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 PEACEFUL WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646217",
            "telephone_number": "843-814-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 403",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-442-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIHEALTHMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-814-4171"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "16596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Rae Olsen, DO
• Cameron Lee Olson, P.A.
• Olympic Physical Therapy LLC
• Swapna Omraju, M.D.
• Ashley Caroline Oppold
• Kyle Thomas Ordille, DC
• Angela Virginia Ordyniec, MSSW, LISW-CP, LCSW
• William Christopher Orr, OD
• Orthopaedic Specialists of Charleston
• Orthopaedic Specialists of Charleston

• Physical Medicine & Rehabilitation Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.