Optimized Health and Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OPTIMIZED HEALTH AND WELLNESS

Practice address

6333 E Mockingbird LN Ste 147
Dallas, TX 75214-2672

Phone

(469) 658-9352

Fax

(469) 300-6011

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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

Jideofor OgbonnaNPI 1740848431

Title

Owner

Phone

(469) 658-9352

Specialties & licenses 1

Addresses

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.

• Jideofor Uzoma Ogbonna, NP

  • Family Nurse Practitioner
  • Waxahachie, TX
  • NPI 1740848431
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1639888068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 147",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142672",
            "telephone_number": "469-658-9352",
            "fax_number": "469-300-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 147",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142672",
            "telephone_number": "469-658-9352",
            "fax_number": "469-300-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "JIDEOFOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-658-9352"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optimal Wellnesscare, Inc (Lovers Lane Wellness Center)
• Optimamed Solutions Inc
• Optimum Base Services Inc.
• Optimum DME LLC
• Optique Inc
• Optum Clinic, PA
• Opulence Care LLC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.