Active NPI
Optimum Healthcare Solutions
- Oxygen Equipment & Supplies (DME)
- Crawford, GA
National Provider Identifier
1790176907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- GA65897
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | GA65897 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.