Organization Active NPI

Optimum Healthcare Solutions

  • Oxygen Equipment & Supplies (DME)
  • Crawford, GA
National Provider Identifier
1790176907
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
GA65897 Issued in GA
Legal business name
OPTIMUM HEALTHCARE SOLUTIONS
Practice address
245 N. Street
Crawford, GA 30648
Phone
(706) 743-8639
NPI assigned
Feb 10, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sheldon Eberhart
Title
Operations Manager
Phone
(404) 977-8237

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X GA65897 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

245 N. Street
Crawford, GA 30648

Mailing address

245 N. Street
Crawford, GA 30630
Phone (706) 743-3698

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2015.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1790176907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N. STREET",
            "city": "CRAWFORD",
            "state": "GA",
            "postal_code": "30630",
            "telephone_number": "706-743-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N. STREET",
            "city": "CRAWFORD",
            "state": "GA",
            "postal_code": "30648",
            "telephone_number": "706-743-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "404-977-8237"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "GA65897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.