# OPTIMAL MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700964772
- **Authorized official:** JACQUELINE MILLER (PRESIDENT)
- **Authorized official phone:** (713) 669-0299

## Contact information

- **Practice address:** 2646 SOUTH LOOP W STE 630, HOUSTON, TX 77054-2677
- **Practice address phone:** (713) 669-0299
- **Practice address fax:** (713) 669-0244
- **Mailing address:** 2646 SOUTH LOOP W STE 630, HOUSTON, TX 77054-2677
- **Mailing address phone:** (713) 669-0299
- **Mailing address fax:** (713) 669-0244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020