| Optimum Wound Care Llc | |
|
9115 Leesgate Rd Ste C Louisville KY 40222-6017 | |
| (502) 999-2308 | |
| Not Available |
| Full Name | Optimum Wound Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9115 Leesgate Rd Ste C, Louisville, Kentucky |
| Authorized Official Name and Position | Mosayeb Karimi (CEO) |
| Authorized Official Contact | 5029992308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Wound Care Llc 9115 Leesgate Rd Ste C Louisville KY 40222-6017 Ph: () - | Optimum Wound Care Llc 9115 Leesgate Rd Ste C Louisville KY 40222-6017 Ph: (502) 999-2308 |
| NPI Number | 1376269530 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 6305218462 |
|---|---|
| Medicare Enrollment ID | O20230217002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376269530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mosayeb Karimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235895095 PECOS PAC ID: 5395136816 Enrollment ID: I20211216002525 |
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