Optima Medical Group, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OPTIMA MEDICAL GROUP, PA

Practice address

2115 N 34TH St
Suite B
Waco, TX 76708-3114

Phone

(254) 753-1885

Fax

(254) 755-0078

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brett J Bolte, M.D.

Title

President

Phone

(254) 783-1885

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rima Bishara, MD

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1194837732
  NPD (past)
• Sherri L Davidson, RN MSN CS ACNP

  • Nurse Practitioner
  • Temple, TX
  • NPI 1760594980
  NPD (past)
• Holly Lockhart, ACNP

  • Acute Care Nurse Practitioner
  • Temple, TX
  • NPI 1942237169
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861522047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N 34TH ST",
            "address_2": "SUITE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083114",
            "telephone_number": "254-753-1885",
            "fax_number": "254-755-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N 34TH ST",
            "address_2": "SUITE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083114",
            "telephone_number": "254-753-1885",
            "fax_number": "254-755-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLTE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-783-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00G14L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ifunanya Onyima, RD, LD
• Avery Madison Oonk
• Open Arms Healthcare of Texas Inc.
• Open Arms Healthcare of Texas Inc.
• Nikki Oplie
• Oral & Maxillofacial Surgery Affiliates, P.C.
• Jacqueline Orler, LCSW
• Michael J Ormsby, LMSW
• Molly Ormsby
• Lorena Rose Orozco

• Physical Medicine & Rehabilitation Physician in Waco, TX
• Providers in Waco, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.