Opti Health PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004618 Issued in IL

Legal business name

OPTI HEALTH PLLC

Practice address

6521 E Main St
Eau Claire, MI 49111-5129

Phone

(269) 351-6007

NPI assigned

Jan 28, 2014

Organization subpart

No

Name

Dr. Maximino Alfredo Mejia, DRPH, RD

Title

Director

Phone

(269) 351-6007

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2014.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1780007674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 E MAIN ST",
            "address_2": "P.O. BOX 37",
            "city": "EAU CLAIRE",
            "state": "MI",
            "postal_code": "491115129",
            "telephone_number": "269-351-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 E MAIN ST",
            "city": "EAU CLAIRE",
            "state": "MI",
            "postal_code": "491115129",
            "telephone_number": "269-351-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTI HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MAXIMINO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-351-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keesha McKee, LPC
• Maximino Alfredo Mejia, L.D.N., R.D., R.D.N
• Emma L Mupotsa, RDH
• Amanda Sheeana Neal, RDH
• April Diane Nitz, RDH
• David A Puzycki, MD
• Heather Rausch
• David R Reusser, PA
• Jose Carmen Romero
• Sherry Karon Taujale Shrestha, M.D.

• All providers in Eau Claire, MI
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.