NPIMap

Organization Active NPI

Optimum Spine and Rehab, Inc

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1972772424
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMUM SPINE AND REHAB, INC
Practice address
821 Ese Loop323 Ste 310
Tyler, TX 75701-9666
Phone
(903) 939-1369
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Buffie Rome
Title
Bussiness Office Manager
Phone
(504) 467-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

821 Ese Loop323 Ste 310
Tyler, TX 75701-9666

Mailing address

1919 Veterans Memorial Blvd Ste 200
Kenner, LA 70062-4003

National Provider Directory

National Provider Directory

Locations

821 Ese 323 Loop
Ste 310
Tyler, TX 75701
Phone (903) 939-1369

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1972772424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS MEMORIAL BLVD STE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ESE LOOP323 STE 310",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019666",
            "telephone_number": "903-939-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM SPINE AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_title_or_position": "BUSSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-467-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.