MEDICARE: OPTIMED HEALTHCARE PARTNERS, PLLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1619658713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMED HEALTHCARE PARTNERS, PLLC

Provider Business Mailing Address
First Line	:	6480 TECHNOLOGY AVE STE A
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-8126
Country	:	US
Telephone Number	:	269-250-8000
Fax Number	:	269-250-8020

Provider Business Practice Location Address
First Line	:	4021 CASCADE RD SE STE 60
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2177
Country	:	US
Telephone Number	:	269-250-8000
Fax Number	:	269-250-8020

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	ANDREW J REEVES
Credential	:	R.PH.
Telephone Number	:	269-250-8018

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

Similar Medicare Providers

1407859457 — MR. THOMAS A. MAGNIFICO RPH
Practice Location Address:

4021 CASCADE RD SE , SUITE 50
GRAND RAPIDS, MI
49546-2177

Practice Phone: 616-974-9792
Practice Fax: 616-464-3469

1316049745 — KEYSTONE PHARMACY INC
Practice Location Address:

4021 CASCADE RD SE
GRAND RAPIDS, MI
49546-2177

Practice Phone: 616-974-9792
Practice Fax: 616-464-3469

1003031493 — MRS. SUZANNE NASH ANTHONY R.PH.
Practice Location Address:

4021 CASCADE RD SE
GRAND RAPIDS, MI
49546-2177

Practice Phone: 616-974-9792
Practice Fax:

1003633447 — RAUL ALBERTO VAZQUEZ MESTRE LCSW
Practice Location Address:

2177 REDCLIFF CIR
GRAND JUNCTION, CO
81507-4520

Practice Phone: 787-648-6027
Practice Fax:

1386184935 — JENNIFER COTTINGHAM-COLLINS
Practice Location Address:

4065 E HILLS CT SE
GRAND RAPIDS, MI
49546-6249

Practice Phone: 616-942-2081
Practice Fax:

1588519060 — TANYA MUNOZ
Practice Location Address:

4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384

Practice Phone: 231-239-2322
Practice Fax:

Directions to “OPTIMED HEALTHCARE PARTNERS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.