Optimal Sleep Services LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

OPTIMAL SLEEP SERVICES LLC

Practice address

6 Steptoe Cir
Ely, NV 89301-2692

Phone

(775) 289-3611

NPI assigned

Sep 4, 2015

Last updated

Sep 4, 2015By 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

Innocent Chukwuma Ezenwa, M.D.

Title

President

Phone

(703) 909-9116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1487022596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STEPTOE CIR",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012692",
            "telephone_number": "775-289-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL SLEEP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "EZENWA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_middle_name": "CHUKWUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-909-9116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Ely, NV
• Providers in Ely, NV by specialty
• Sleep Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.