Active NPI
Optimum Health Management Corporation
- Durable Medical Equipment & Medical Supplies
- Lawrenceville, GA
National Provider Identifier
1295821395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OPTIMUM HEALTH MANAGEMENT CORPORATION
- Practice address
- 575 W Pike St Ste 2
Lawrenceville, GA 30046-7685 - Phone
- (770) 236-9595
- Fax
- (770) 236-9592
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Michael Heslin
- Title
- President
- Phone
- (770) 236-9595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
575 W Pike St Ste 2
Lawrenceville, GA 30046-7685
Mailing address
575 W Pike St Ste 2
Lawrenceville, GA 30046-7685
Phone (770) 236-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000934843A | Medicaid | GA |
Other names 1
- Optimum Medical Equipment
National Provider Directory
National Provider DirectoryLocations
575 W Pike St
Ste 2
Lawrenceville, GA 30046
Phone (770) 236-9595
4030 Lawrenceville Hwy NW
Ste 12
Lilburn, GA 30047
Phone (678) 924-9901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1295821395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 W PIKE ST STE 2",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467685",
"telephone_number": "770-236-9595",
"fax_number": "770-236-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 W PIKE ST STE 2",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467685",
"telephone_number": "770-236-9595",
"fax_number": "770-236-9592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH MANAGEMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "HESLIN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-236-9595",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000934843A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimum Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.