Provider Demographics
NPI:1134886286
Name:OPTIMAL CARE SERVICES
Entity type:Organization
Organization Name:OPTIMAL CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANTZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, SBL, SDL
Authorized Official - Phone:917-690-9893
Mailing Address - Street 1:68 E 131ST ST STE 502
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-2904
Mailing Address - Country:US
Mailing Address - Phone:212-234-7300
Mailing Address - Fax:212-234-6100
Practice Address - Street 1:68 E 131ST ST STE 502
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-2904
Practice Address - Country:US
Practice Address - Phone:212-234-7300
Practice Address - Fax:212-234-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management