Organization Active NPI

Optimum Health Management Corporation

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1295821395
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000934843AMedicaidGA

Other names 1

  • Optimum Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.