Organization
OPTIMUM IOM TECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA AZUCENA WHEELER (PARTNER)
(281) 772-9023
Entity
Organization
Contact information
Practice address
22841 COLORADO DR, PORTER, TX 77365-3635
(281) 772-9023
Mailing address
24046 CLINTON KEITH RD STE 101, WILDOMAR, CA 92595-8060
(281) 772-9023
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
02/17/2026
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