Provider Demographics
NPI:1306401575
Name:OPTIMUM HEALTH, PLLC
Entity Type:Organization
Organization Name:OPTIMUM HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-844-0708
Mailing Address - Street 1:PO BOX 3211
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83403-3211
Mailing Address - Country:US
Mailing Address - Phone:208-244-0997
Mailing Address - Fax:208-561-6902
Practice Address - Street 1:2928 MICHELLE ST
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-8031
Practice Address - Country:US
Practice Address - Phone:208-244-0997
Practice Address - Fax:208-561-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty