Organization Active NPI

Optimus Vascular LLC

  • Infusion Therapy Clinic/Center
  • Lisle, IL
National Provider Identifier
1790668689
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
OPTIMUS VASCULAR LLC
Practice address
3030 Warrenville Rd Ste 450-36
Lisle, IL 60532-1000
Phone
(630) 819-0367
NPI assigned
Jul 28, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Damini Narendra Patel
Title
Ceo
Phone
(630) 819-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

3030 Warrenville Rd Ste 450-36
Lisle, IL 60532-1000

Mailing address

3030 Warrenville Rd Ste 450-36
Lisle, IL 60532-1000
Phone (630) 819-0109

National Provider Directory

National Provider Directory

Locations

3030 Warrenville Rd
Ste 45036
Lisle, IL 60532
Phone (630) 819-0367

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1790668689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 450-36",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "630-819-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 450-36",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "630-819-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DAMINI",
        "authorized_official_middle_name": "NARENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-819-0109"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.