OrganizationActive
Optima Med Spa PLLC
NPI 1376352765 · Obesity and Weight Management Nutrition Registered Dietitian · Cedar Rapids, IA
Provider details
- NPI number
- 1376352765
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Authorized official
- Stephanie Johnson, Owner
Practice location
1950 Dodge Rd Ne
Suite 106 (inside Coldstream Health)
Cedar Rapids, IA 52402
Phone: (319) 768-7000
Mailing address
3315 Williams Blvd Sw # 2-112
Cedar Rapids, IA 52404-1478
Registry dates
- Enumerated
- 2024-12-31
- Last updated
- 2025-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.