Optimumedicine LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

OPTIMUMEDICINE LLC

Practice address

175 E Reno Ave Ste C9
Las Vegas, NV 89119-1102

Phone

(844) 888-8911

Fax

(702) 435-7693

NPI assigned

Feb 21, 2018

Last updated

Dec 10, 2025By 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

Devon K. Eisma

Title

Ceo

Phone

(702) 286-6490

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Optimumedicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optimumedicine LLC

  • Community Health Clinic/Center
  • Las Vegas, NV
  • NPI 1568105161
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Gannon, RN

  • Flight Registered Nurse
  • Las Vegas, NV
  • NPI 1043138639
  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1578064002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93056",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891933056",
            "telephone_number": "844-888-8911",
            "fax_number": "702-435-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E RENO AVE STE C9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891191102",
            "telephone_number": "844-888-8911",
            "fax_number": "702-435-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "EISMA",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-286-6490"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimize Physical Therapy and Performance
• Optimum Behavioral Care LLC
• Optimum Health Partners LLC
• Optimum Medical Supply, Inc (Optimum Medical Supply)
• Optimumedicine LLC
• Option 1 Nutrition Solutions, LLC (Aveanna Healthcare Medical Solutions)
• Option Care Enterprises, Inc (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Optometric Partnership LLC (Vision Source)
• Optum Behavioral Care Therapy Services of Illinois PC

• Land Ambulance in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Land Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.