Organization
OPTIMA HEALTH, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN S HARRIS D.O (PRESIDENT)
(270) 283-4638
Entity
Organization
Contact information
Practice address
138 CAMPBELLSVILLE BYP, SUITE 5, CAMPBELLSVILLE, KY 42718-8843
(270) 283-4638
(270) 283-4639
Mailing address
138 CAMPBELLSVILLE BYP, SUITE 5, CAMPBELLSVILLE, KY 42718-8843
(270) 283-4638
(270) 283-4639
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
03286
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100193450
—
KY
Enumeration date
02/27/2017
Last updated
02/27/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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