Organization Active NPI

Optimum Iom Pro, LLC

  • Neurology Physician
  • Porter, TX
National Provider Identifier
1659906519
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
OPTIMUM IOM PRO, LLC
Practice address
22841 Colorado Dr
Porter, TX 77365-3635
Phone
(281) 772-9023
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Vilma Azucena WheelerNPI 1649529280
Title
Partner
Phone
(951) 897-0770

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
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

22841 Colorado Dr
Porter, TX 77365-3635

Mailing address

24046 Clinton Keith Rd Ste 101
Wildomar, CA 92595-8060
Phone (281) 772-9023

National Provider Directory

National Provider Directory

Locations

24046 Clinton Keith Rd
Ste 101
Wildomar, CA 92595

Practitioners & affiliated clinicians

Practitioners 1

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": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1659906519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24046 CLINTON KEITH RD STE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958060",
            "telephone_number": "281-772-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22841 COLORADO DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653635",
            "telephone_number": "281-772-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM IOM PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "AZUCENA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-897-0770"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.