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Contact Information

OPTALIS BLACKLICK OPCO LLC
195 BLOSSOM FIELD BLVD
COLUMBUS, OH43213
 Phone: 614-655-6554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for OPTALIS BLACKLICK OPCO LLC

NPI # 1831036912
LBN Legal business name OPTALIS BLACKLICK OPCO LLC
Authorized official RAJ PATEL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2026
Last updated 04/29/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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