OPTIMED HEALTHCARE PARTNERS PLLC NPI 1619658713

NPI Information

  • NPI: 1619658713
  • Provider Name: OPTIMED HEALTHCARE PARTNERS, PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4021 CASCADE RD SE STE 60
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (269) 250-8000

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NPI Details

OPTIMED HEALTHCARE PARTNERS, PLLC is a general practice in Grand Rapids, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTIMED HEALTHCARE PARTNERS, PLLC NPI is 1619658713. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4021 CASCADE RD SE STE 60
GRAND RAPIDS, MI
ZIP 49546-177
Phone: (269) 250-8000
Fax: (269) 250-8020

The provider's authorized official is Andrew J Reeves .
The authorized official title is Authorized Agent and has the following contact phone number (269) 250-8018.

The enumeration date for this NPI number is 7/31/2023 and was last updated on 7/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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