Optimum Vitality Medical Group
NPI #1780232843 in Richmond Heights, Ohio
Provider Information
- NPI Number
- 1780232843
- Entity Type
- Organization
- Organization Name
- Optimum Vitality Medical Group
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 30, 2019
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 464 RICHMOND RD STE 202
- City
- Richmond Heights
- State
- Ohio
- ZIP Code
- 44143-2704
- Phone
- (330) 824-4200
Authorized Official
- Name
- KELLI BLACK
- Title
- BILLING CONSULTANT
- Phone
- (216) 750-3427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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