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NPI Code Detail

MEDICARE: OPTIMUM INC.

MEDICARE: OPTIMUM INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1161606201OTHERTXTPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093862260
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMUM INC.
Provider Business Mailing Address
First Line : 8321 WOODWARD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77051-1329
Country : US
Telephone Number : 281-974-2075
Fax Number : 281-783-2282
Provider Business Practice Location Address
First Line : 8321 WOODWARD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77051-1329
Country : US
Telephone Number : 281-974-2075
Fax Number : 281-783-2282
Authorized Official
Title or Position : OWNER
Name : MR. JAMES C WALKER
Credential :
Telephone Number : 291-974-2075
Provider Enumeration Date : 01/03/2007
Last Update Date : 09/30/2025

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Directions to “OPTIMUM INC. ” Practice Location

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