Organization
OPTIMUSMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MOWRY (CEO)
(760) 795-5440
Entity
Organization
Contact information
Practice address
1305 LAKES PKWY, SUITE 109, LAWRENCEVILLE, GA 30043-5886
(770) 822-6787
(800) 454-9615
Mailing address
2382 FARADAY AVENUE, SUITE 300, CARLSBAD, CA 92008-7220
(760) 795-5440
(214) 501-0299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
000047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416145694B
—
GA
Enumeration date
07/18/2008
Last updated
03/06/2025
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