Optima Health & Vitality Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1708

Legal business name

OPTIMA HEALTH & VITALITY CENTER

Practice address

3321 Golf Rd Ste a
Eau Claire, WI 54701-9190

Phone

(715) 832-1953

NPI assigned

Jul 23, 2007

Last updated

Jun 10, 2008By 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

Yvonne A Runkel

Title

Office Manager

Phone

(715) 832-1953

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William M Bauer, D.C

  • Chiropractor
  • Eau Claire, WI
  • NPI 1689729147
  Medicare reassignment Care Compare group NPD
• Julie Kay Goplin, D.C.

  • Chiropractor
  • Eau Claire, WI
  • NPI 1265858484
  Medicare reassignment Care Compare group NPD
• David Michael Martens, D.C.

  • Chiropractor
  • Eau Claire, WI
  • NPI 1073874491
  Medicare reassignment Care Compare group NPD
• Patrick John Wagener, DC

  • Chiropractor
  • Janesville, WI
  • NPI 1285227645
  Medicare reassignment NPD

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1952501520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 GOLF RD STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019190",
            "telephone_number": "715-832-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 GOLF RD STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019190",
            "telephone_number": "715-832-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH & VITALITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "RUNKEL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-832-1953"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "3389",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "4243",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2844-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "CB3736",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omne Clinic, Inc. (Ecp)
• Diane Jean Omtvedt, N.P. AND L.AC.
• Bundo E Onwueme, MPH, PA-C
• Ngozi Augustina Onyishi, MD
• Morgan Opelt, DC
• Optima Medical, LLC
• Optimum Therapies
• Optimum Therapies, LLC
• Orchard Hills Assisted Living LLC (Dove Healthcare - Orchard Hills Assisted Living)
• Jessica Marie Ortiz-Peterson, DPT

• Chiropractor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.