Provider Demographics
NPI:1184956716
Name:SLEEP OPTIMA
Entity type:Organization
Organization Name:SLEEP OPTIMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:WININGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-481-4510
Mailing Address - Street 1:17000 SAINT CLAIR AVE
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-2535
Mailing Address - Country:US
Mailing Address - Phone:216-481-4510
Mailing Address - Fax:216-481-4570
Practice Address - Street 1:17000 SAINT CLAIR AVE
Practice Address - Street 2:BUILDING 1
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-2535
Practice Address - Country:US
Practice Address - Phone:216-481-4510
Practice Address - Fax:216-481-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic