Optima Dermatology LLC
Optima Dermatology LLC is a healthcare organization registered as Dermatology Physician in Boardman, OH, holding Type 2 (organization) NPI 1831187764 since 2005. The authorized official on file is John Bernat, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831187764 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Optima Dermatology LLC |
| Other name | <Unavail> |
| Practice address | 987 BOARDMAN CANFIELD RD, Boardman, OH, 44512 |
| Phone | 3309658760 |
| Fax | 3309659325 |
| Enumeration date | 2005-10-13 |
| Last updated in NPPES | 2024-07-01 |
Authorized official
| Name | John Bernat |
|---|---|
| Title | Authorized Official |
| Phone | 3309658760 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ND0101X | MOHS-Micrographic Surgery Physician | Secondary | — | — |
| 207ND0900X | Dermatopathology Physician | Secondary | — | — |
| 207ZP0101X | Anatomic Pathology Physician | Secondary | — | — |
| 174400000X | Specialist | Secondary | — | — |
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Optima Dermatology LLC NPI: 1831187764 Taxonomy: 207N00000X (Dermatology Physician) Address: 987 BOARDMAN CANFIELD RD, Boardman, OH, 44512
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215923115 | John Bernat | Individual | Specialist | Boardman, OH |
| 1316933260 | Patrick Shannon | Individual | Specialist | Boardman, OH |
| 1104804707 | Anne Zajac | Individual | Medical Physician Assistant | Boardman, OH |
| 1508062712 | Sarah Kudelko | Individual | Physician Assistant | Boardman, OH |
| 1497912893 | Advanced Dermatology and Skin Cancer Center | Organization | Clinical Medical Laboratory | Boardman, OH |
| 1093020133 | Mariel Bird | Individual | Dermatology Physician | Boardman, OH |
| 1710274014 | Advanced Dermatology and Skin Cancer Center | Organization | Clinical Medical Laboratory | Boardman, OH |
| 1770092900 | Teresa Shaffer | Individual | Adult Health Nurse Practitioner | Boardman, OH |
Verify this record
Cross-check NPI 1831187764 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
Where is Optima Dermatology LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-01.