Optimal Mens Center PLLC
NPI 1811535974ActiveOrganization· Family Medicine· Goodyear, AZ
Family Medicine in Goodyear, Arizona, registered in NPPES in December 2019. The authorized official on file is Kerry Knight, PA, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811535974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2019 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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