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Optimal Health Center of Acadiana

Organization Active NPI Family Nurse Practitioner · Lafayette, LA

NPI 1316541998 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1316541998
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
OPTIMAL HEALTH CENTER OF ACADIANA
Practice address
340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859
Phone
(337) 235-0575
NPI assigned
Nov 24, 2020
Organization subpart
No

Authorized official

Name
Kaye Gaspard, NP NPI 1356544548
Title
Owner
Phone
(337) 235-0575

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 19

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210129000187 LA Part B Supplier - Clinic/Group Practice 3971917147 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

Locations

340 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 235-0575

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP		 363LF0000X Yes

Addresses

Primary practice location

340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859

Mailing address

340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859
Phone (337) 235-0575

Other practice location 1

1901 Chemin Metairie Pkwy Ste 2
Youngsville, LA 70592-5660
Phone (337) 451-4817

Other names

  • The Lux Spa Doing business as

Other providers in Lafayette, LA

All providers in Lafayette, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.