Healthcare Provider Details

I. General information

NPI: 1477412070
Provider Name (Legal Business Name): OPTIMUM MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 STATE ROUTE 37 STE 6
NEW FAIRFIELD CT
06812-5035
US

IV. Provider business mailing address

119 OLD ANSONIA RD
SEYMOUR CT
06483-3512
US

V. Phone/Fax

Practice location:
  • Phone: 203-746-2436
  • Fax: 203-734-2363
Mailing address:
  • Phone: 203-913-4061
  • Fax: 203-734-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMENTHA GILLES
Title or Position: APRN
Credential: FNP
Phone: 203-343-8077