OPTIMAL HEALTH AND WELLNESS CLINIC LLC NPI 1912715244

NPI Information

  • NPI: 1912715244
  • Provider Name: OPTIMAL HEALTH AND WELLNESS CLINIC, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 5975 KENTSHIRE DR
    DAYTON, OH
    ZIP 45440
  • Phone: (937) 902-2655

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NPI Details

OPTIMAL HEALTH AND WELLNESS CLINIC, LLC is a family nurse practitioner in Dayton, OH. OPTIMAL HEALTH AND WELLNESS CLINIC, LLC NPI is 1912715244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5975 KENTSHIRE DR
DAYTON, OH
ZIP 45440-264
Phone: (937) 902-2655
Fax: (937) 468-4770

The provider's authorized official is Esther Bassaw .
The authorized official title is Owner and has the following contact phone number (937) 902-2655.

The enumeration date for this NPI number is 12/19/2024 and was last updated on 12/19/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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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