Optimal Life Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5502 Issued in CO

Legal business name

OPTIMAL LIFE INC

Practice address

323 W Drake Rd
Suite 216
Fort Collins, CO 80526-8115

Phone

(970) 223-5158

Fax

(970) 223-5158

NPI assigned

Oct 29, 2009

Last updated

Oct 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Marie Carlet, D.C.

Title

Corporate Officer

Phone

(970) 223-5158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1245566066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W DRAKE RD",
            "address_2": "SUITE 216",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268115",
            "telephone_number": "970-223-5158",
            "fax_number": "970-223-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W DRAKE RD",
            "address_2": "SUITE 216",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268115",
            "telephone_number": "970-223-5158",
            "fax_number": "970-223-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "CARLET",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "970-223-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.