OrganizationActive
Optimum Clinical Care, PLLC
NPI 1962620005 · Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1962620005
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Thertulien, Member(704) 333-1555
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2711 Randolph Rd
Suite 140
Charlotte, NC 28207-2034
Phone: (704) 333-1555
Fax: (704) 333-1553
Street-level locationGet directions
Mailing address
Po Box 220504
Charlotte, NC 28222-0504
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.