Provider Demographics
NPI:1326371709
Name:OPTIMA WOMEN'S HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:OPTIMA WOMEN'S HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VANDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JERATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-777-8078
Mailing Address - Street 1:PO BOX 100617
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80250-0617
Mailing Address - Country:US
Mailing Address - Phone:303-805-1807
Mailing Address - Fax:303-595-5390
Practice Address - Street 1:9399 CROWN CREST BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138
Practice Address - Country:US
Practice Address - Phone:303-805-1807
Practice Address - Fax:303-595-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty