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

Optimal Wellness LLC

Organization Family Medicine Physician · NPI 1063916195

Optimal Wellness LLC is a Family Medicine Physician in Shreveport, Louisiana. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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

745 Olive St Ste 109
Shreveport, LA 71104
Phone: (318) 716-1200
Fax: (318) 562-3330
Show map & directions

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

Additional practice locations (1)

  • 745 Olive Street, Shreveport, LA 71104 — (318) 716-1200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063916195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sreedevi Yerrapragada — Officer/Manager · (318) 716-1200
NPI enumeratedMarch 22, 2018
Last updated in NPPESMarch 22, 2018
Mailing address745 Olive Street, Suite 109, Shreveport, LA 71104

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