Organization Active NPI

Optimal Family Care & Aesthetics

  • Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1639788680
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OPTIMAL FAMILY CARE & AESTHETICS
Practice address
2001 N Federal Hwy Unit 219
Pompano Beach, FL 33062-1039
Phone
(954) 933-7164
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eglante NoelNPI 1578935433
Title
Arnp/Family Nurse Practitioner
Phone
(561) 901-3779

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2001 N Federal Hwy Unit 219
Pompano Beach, FL 33062-1039

Mailing address

11419 W Palmetto Park Rd Unit 970032
Boca Raton, FL 33497-2503
Phone (954) 933-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111000697 FL Part B Supplier - Clinic/Group Practice 5092125690 Receives reassigned benefits from 5 practitioners
Practice locations: Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2192729Optimal Family Care LLC2001 N Federal Hwy #219, Pompano Beach, FL 33062Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

11419 W Palmetto Park Rd
Unit 970032
Boca Raton, FL 33497

2001 N Federal Hwy
Unit 219
Pompano Beach, FL 33062
Phone (954) 539-2030

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1639788680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 W PALMETTO PARK RD UNIT 970032",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334972503",
            "telephone_number": "954-933-7164",
            "fax_number": "954-933-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N FEDERAL HWY UNIT 219",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621039",
            "telephone_number": "954-933-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL FAMILY CARE & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "EGLANTE",
        "authorized_official_title_or_position": "ARNP/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "561-901-3779"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.