Optasia Grace

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

OPTASIA GRACE

Practice address

1908 Transcendence Dr
Wylie, TX 75098-0900

Phone

(214) 229-1962

NPI assigned

Jun 3, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cleopas Simbi

Title

Administrator

Phone

(214) 229-1962

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1902420086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 TRANSCENDENCE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980900",
            "telephone_number": "214-229-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 TRANSCENDENCE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980900",
            "telephone_number": "214-229-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTASIA GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SIMBI",
        "authorized_official_first_name": "CLEOPAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-229-1962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adekunle O Olatunji, PHARM D
• Lisa Olford, AGACNP
• Olufemi Fadahunsi, DDS, PC (Wylie Dentistry Company)
• Ugonna C. Onwunali, FNP
• Olgah Onyambu
• Optcare LLC
• Orthopaedic Specialists of Dallas, PA (Orthopaedic Specialists of Dallas)
• Orthopaedic Specialists of Dallas, PA
• Orthopaedic Specialists of Dallas, PA
• Diego Ortiz

• Public Health or Welfare Agency in Wylie, TX
• Providers in Wylie, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.