Provider Demographics
NPI:1407586456
Name:OPTIMUS SENIOR HEALTH CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:OPTIMUS SENIOR HEALTH CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JON HEADINGS
Authorized Official - Last Name:TROYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-317-1896
Mailing Address - Street 1:7511 GREENWOOD AVE N # 526
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:206-299-4618
Practice Address - Street 1:4444 WOODLAND PARK AVE N UNIT B101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7549
Practice Address - Country:US
Practice Address - Phone:206-317-1956
Practice Address - Fax:206-299-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty