- Practice location
- 987 Boardman Canfield RD, Boardman, OH 44512-4222
- Phone
- 330-965-8760
- Fax
- 330-965-9325
- Last updated
- November 3, 2026
Optima Dermatology LLC is a healthcare organization based in Boardman, OH. Optima Dermatology LLC practices in Boardman, OH. The NPI Number for Optima Dermatology LLC is 1831187764. The current practice location address for Optima Dermatology LLC is 987 Boardman Canfield RD, Boardman, OH 44512-4222 and can be reached out via phone at 330-965-8760 and via fax at 330-965-9325.
Provider Profile Details
- NPI Number
- 1831187764
- Provider Name
- Optima Dermatology LLC
- Provider Entity Type
- Organization
- Address
- 987 Boardman Canfield RD, Boardman, OH 44512-4222
- Phone Number
- 330-965-8760
- Fax Number
- 330-965-9325
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- John Bernat, MD · Authorized Official · 330-965-8760
- Other Names
- Advanced Dermatology And Skin Cancer Center LLC (Former Legal Business Name)
- Provider Enumeration Date
- October 13, 2005
- Last Update Date
- November 3, 2026
- Certification Date
- November 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 987 Boardman Canfield RD
Boardman, OH 44512-4222 - City
- Boardman
- State
- Ohio
- Zip
- 44512-4222
- Phone Number
- 330-965-8760
- Fax Number
- 330-965-9325
Provider Business Mailing Address Details
- Address
- 111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864 - City
- Portsmouth
- State
- NH
- Zip
- 03801-2864
- Phone Number
- 802-909-2053
- Fax Number
- 330-965-9325
License Information
- Taxonomy (1)
- Specialist · 174400000X
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
- Taxonomy (3)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Taxonomy (4)
- Dermatology, Dermatopathology · 207ND0900X
- Taxonomy (5)
- Pathology, Anatomic Pathology · 207ZP0101X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Boardman, OH
View all Dermatology providers in Boardman →Frequently Asked Questions
What is the NPI number of Optima Dermatology LLC?
The NPI number of Optima Dermatology LLC is 1831187764. It was assigned on October 13, 2005 and is currently active in the NPPES registry.
What is the specialty of Optima Dermatology LLC?
Optima Dermatology LLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Optima Dermatology LLC practice?
The practice location is 987 Boardman Canfield RD, Boardman, OH 44512-4222. The office can be reached at 330-965-8760 (phone) or 330-965-9325 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831187764 directly on the NPPES registry website.