Provider Demographics
NPI:1760679971
Name:OPTIMAL HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:OPTIMAL HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD(C), MPH, BSP
Authorized Official - Phone:252-758-6474
Mailing Address - Street 1:3107 EVANS ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7690
Mailing Address - Country:US
Mailing Address - Phone:252-758-6474
Mailing Address - Fax:
Practice Address - Street 1:3107 EVANS ST
Practice Address - Street 2:SUITE C
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7690
Practice Address - Country:US
Practice Address - Phone:252-758-6474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health