Optimal Nutrition LLC
NPI 1073086203 · Health Service Clinic/Center · Glastonbury, CT
Optimal Nutrition LLC is a Health Service Clinic/Center organization in Glastonbury, CT (NPI 1073086203).
Provider details
- NPI number
- 1073086203
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Shettle, Owner(860) 916-2486
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-10
- Last updated
- 2019-01-10
Frequently asked questions
- What is Optimal Nutrition LLC's NPI number?
- Optimal Nutrition LLC's National Provider Identifier (NPI) is 1073086203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optimal Nutrition LLC?
- Optimal Nutrition LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Optimal Nutrition LLC located?
- Optimal Nutrition LLC's practice location on file with NPPES is 65 Kelsey Ln, Glastonbury, CT 06033-5040.
- What is Optimal Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Optimal Nutrition LLC is (860) 916-2486.
- Who is the authorized official for Optimal Nutrition LLC?
- The authorized official listed on Optimal Nutrition LLC's NPPES record is Lisa Shettle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optimal Nutrition LLC's NPI active?
- Yes — Optimal Nutrition LLC's NPI (1073086203) is active in the NPPES registry as of the last update on 2019-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.