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Contact Information

OPTIMUM PRIMARY CARE PLLC
1501 E 19TH ST
EDMOND, OK73013-6618
 Phone: 405-471-6511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OPTIMUM PRIMARY CARE PLLC · (Female)

NPI Number 1760030399
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2019
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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