Optima Dermatology LLC
Optima Dermatology LLC is a healthcare organization registered as Clinical Medical Laboratory in Boardman, OH, holding Type 2 (organization) NPI 1528147352 since 2006. The authorized official on file is Vicki Groner, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528147352 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Optima Dermatology LLC |
| Other name | <Unavail> |
| Practice address | 1027 BOARDMAN CANFIELD RD, Boardman, OH, 44512 |
| Phone | 3309658760 |
| Fax | 3309659325 |
| Enumeration date | 2006-11-03 |
| Last updated in NPPES | 2024-01-11 |
Authorized official
| Name | Vicki Groner |
|---|---|
| Title | Billing Manager |
| Phone | 3309658760 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | 35074029 | OH |
Copy-ready billing details
Provider: Optima Dermatology LLC NPI: 1528147352 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1027 BOARDMAN CANFIELD RD, Boardman, OH, 44512
Verify this record
Cross-check NPI 1528147352 against the authoritative CMS record: view Optima Dermatology LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Optima Dermatology LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-11.