Organization
OPTIMUM MEDICAL SUPPLY, INC
Active
Other names
OPTIMUM MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP ADE OJO (PRESIDENT)
(702) 796-7772
Entity
Organization
Contact information
Practice address
2797 S MARYLAND PKWY STE 13, LAS VEGAS, NV 89109-1576
(702) 796-7772
(702) 796-7773
Mailing address
2797 S MARYLAND PKWY STE 13, LAS VEGAS, NV 89109-1576
(702) 796-7772
(702) 796-7773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500013
—
NV
Enumeration date
03/18/2006
Last updated
03/20/2019
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