NPI 1053684860

Optimum Horizon LLC

Organisation Preferred Provider Organization Charlotte, NC

Practice location

Address: 6412 Mallard View Ln, Charlotte, NC 28269-5121
Phone: (980) 721-7785

Authorised official

Name: Osagyefo a Greene
Title: Owner
Phone: (980) 721-7785

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1053684860
Entity type: Organization
NPI issued: 10 Feb 2012
Record last updated: 10 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.