Optimal Health and Skin LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

OPTIMAL HEALTH AND SKIN LLC

Practice address

4701 Old Shepard PL Ste 260
Plano, TX 75093-5250

Phone

(972) 336-3300

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Ted Groesbeck

Title

Ceo

Phone

(972) 236-3300

Specialties & licenses 1

Addresses

Other names 1

• Optimal Health Doing business as

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1700498136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 LEGACY DR STE B3-355",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLD SHEPARD PL STE 260",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935250",
            "telephone_number": "972-336-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH AND SKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "GROESBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-236-3300"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Open Diagnostic Imaging, LLC
• Open Market Dental, PLLC
• Ophthalmic Partners, PA
• Rachel Rebekah Oppenheimer, PSY.D.
• Optima Anesthesia PLLC
• Optimum Crna LLC
• Optimum Home Health Care;Inc
• Optum Clinic, PA
• Diana L Oquinn, DDS
• Oraac Home, Inc

• Dermatology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.