Organization Active NPI

Optimal Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1700964772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTIMAL MEDICAL SUPPLY INC
Practice address
2646 South Loop W Ste 630
Houston, TX 77054-2677
Phone
(713) 669-0299
Fax
(713) 669-0244
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacqueline Miller
Title
President
Phone
(713) 669-0299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2646 South Loop W Ste 630
Houston, TX 77054-2677

Mailing address

2646 South Loop W Ste 630
Houston, TX 77054-2677
Phone (713) 669-0299

National Provider Directory

National Provider Directory

Locations

2646 S Loop W
Ste 630
Houston, TX 77054
Phone (713) 669-0299

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700964772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 SOUTH LOOP W STE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542677",
            "telephone_number": "713-669-0299",
            "fax_number": "713-669-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 SOUTH LOOP W STE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542677",
            "telephone_number": "713-669-0299",
            "fax_number": "713-669-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-669-0299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.