| Optimus Health Care | |
|
471 Barnum Ave Bridgeport CT 06608-2409 | |
| (203) 333-6864 | |
| (203) 332-0376 |
| Full Name | Optimus Health Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 471 Barnum Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Ludwig Spinelli (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2033336864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimus Health Care 471 Barnum Ave Bridgeport CT 06608-2409 Ph: (203) 333-6864 | Optimus Health Care 471 Barnum Ave Bridgeport CT 06608-2409 Ph: (203) 333-6864 |
| NPI Number | 1669548376 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669548376 | NPI | - | NPPES |
| 004234770 | Medicaid | CT | |
| C00383 | Other | CT | MEDICARE PART B C00383 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0073 (Connecticut) | Primary |
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