Organization

Optimum Vitality Medical Group

Clinic/Center in Richmond Heights, OH(View on Map)

Legal Business Name

Optimum Vitality Medical Group

NPI Number

1780232843

NPI Type

Organization

Enumeration Date

08/30/2019

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

464 RICHMOND RD STE 202
464 RICHMOND RD STE 202

City

Richmond Heights
Richmond Heights

State

OH
OH

Postal Code

44143-2704
44143-2704

Country

US
US

Telephone Number

(330) 824-4200
(330) 824-4200

Authorized Official

Name

Kelli Black

Title or Position

BILLING CONSULTANT

Telephone Number

(216) 750-3427

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/30/2019

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