OPTIMUS HEALTH CARE NPI 1669548376

NPI Information

NPI: 1669548376
Provider Name: OPTIMUS HEALTH CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
471 BARNUM AVE
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 333-6864
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OPTIMUS HEALTH CARE is a dental clinic center in Bridgeport, CT. OPTIMUS HEALTH CARE NPI is 1669548376. The provider is registered as an organization entity type.

The provider's business location address is:

471 BARNUM AVE
BRIDGEPORT, CT
ZIP 06608-409
Phone: (203) 333-6864
Fax: (203) 332-0376

The provider's authorized official is Ludwig Spinelli .
The authorized official title is Chief Executive Officer and has the following contact phone number (203) 333-6864.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 6/22/2010.

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
1	261QD0000X	Clinic/Center	Dental	0073	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C00383	OTHER	CONNECTICUT	MEDICARE PART B C00383
2	004234770	MEDICAID	CONNECTICUT
3	071800	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT
4	071810	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT

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: 4/28/2024

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