Organization Active NPI

Optimal Primary Care & Wellness, LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1730862152
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMAL PRIMARY CARE & WELLNESS, LLC
Practice address
11233 SW 111TH St
Miami, FL 33176-3232
Phone
(305) 438-8044
NPI assigned
Aug 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Lorrie B Althage, APRNNPI 1497409890
Title
Owner
Phone
(305) 438-8044

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11233 SW 111TH St
Miami, FL 33176-3232

Mailing address

11233 SW 111TH St
Miami, FL 33176-3232
Phone (305) 438-8044

Other identifiers 1

IdentifierTypeStateIssuer
14977409890MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1730862152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SW 111TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763232",
            "telephone_number": "305-438-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 SW 111TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763232",
            "telephone_number": "305-438-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PRIMARY CARE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ALTHAGE",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-438-8044",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14977409890",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.