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OPTIMUM MEDICAL LLC
NPI 1720215346
Pediatrics in Danbury, CT

Active since June 22, 2009CLIA 07D2027167 · Waiver
205 MAIN ST, STE 1, DANBURY, CT 06810(203) 794-9000 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimum Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM MEDICAL LLC (NPI 1720215346) is a healthcare organization registered as a pediatrics in Danbury, Connecticut and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Jacques E Etienne, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1720215346
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOPTIMUM MEDICAL LLC
Location Address205 MAIN ST, STE 1Danbury, CT 06810-6627
Mailing Address205 Main St, Ste 1Danbury, CT 06810-6627 · (203) 794-9000
Phone(203) 794-9000
Organization SubpartNo
Authorized OfficialJacques E EtiennePhysician/owner · (203) 775-7949
Enumeration DateJune 22, 2009
Last NPPES UpdateOctober 15, 2013
✔ NPI 1720215346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 042829
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
205 MAIN ST, Danbury, CT 06810
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2027167

Optimum Medical LLC · Danbury, CT
Active · expires Jul 18, 2027
CLIA Number07D2027167
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorJacques Etienne
Laboratory Phone(203) 794-9000
Laboratory LocationOptimum Medical LLC48 Main St, Danbury, CT 06810
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimum Medical LLC's NPI number?

The NPI number for Optimum Medical LLC is 1720215346. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Optimum Medical LLC located?

Optimum Medical LLC is located at 205 Main St Ste 1, Danbury, CT 06810. The listed phone number is (203) 794-9000.

What is Optimum Medical LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Optimum Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2027167) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimum Medical LLC was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.