Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optima Dermatology LLC

Organization Clinical Medical Laboratory · NPI 1528147352

Optima Dermatology LLC is a Clinical Medical Laboratory in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1027 Boardman Canfield Rd
Boardman, OH 44512-4227
Phone: (330) 965-8760
Fax: (330) 965-9325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 35074029 (OH)

Record details

NPI number1528147352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Groner — Billing Manager · (330) 965-8760
Other names Advanced Dermatology And Skin Cancer Center Llc
NPI enumeratedNovember 3, 2006
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address987 Boardman Canfield Rd, Boardman, OH 44512-4222

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