OPTIM ORTHOPEDICS-VIDALIA – NPI #1386038057
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

OPTIM ORTHOPEDICS-VIDALIA is an orthopaedic surgeon located in VIDALIA, GA. NPPES has assigned the NPI number 1386038057 to OPTIM ORTHOPEDICS-VIDALIA on March 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPTIM ORTHOPEDICS-VIDALIA” is a dba name, the actual legal business name for this organization is OPTIM ORTHOPEDICS, LLC. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 4 years ago on Mar 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPTIM ORTHOPEDICS-VIDALIA below.

NPI Profile for
OPTIM ORTHOPEDICS, LLC

NPI Number
1386038057
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPTIM ORTHOPEDICS, LLC
Doing Business As (dba): OPTIM ORTHOPEDICS-VIDALIA
Primary location
1707 MEADOWS LANE
VIDALIA, GA 30474
Phone: (912) 386-1212 Fax: (912) 535-9779
Mailing address
210 E. DERENNE AVE.
SAVANNAH, GA 31405
Phone: (912) 644-5353 Fax: (912) 644-5282
Organization Subpart
Yes - OPTIM ORTHOPEDICS-VIDALIA is subpart of another organization.
Authorized Official
JOHN BUTLER
CEO
Phone: (912) 644-5300
Updated
Certification Date
Mar 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.