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

Optimum Horizon LLC

Organization Preferred Provider Organization · NPI 1053684860

Optimum Horizon LLC is a Preferred Provider Organization in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6412 Mallard View Ln
Charlotte, NC 28269-5121
Phone: (980) 721-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X (NC)

Record details

NPI number1053684860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osagyefo Greene — Owner · (980) 721-7785
NPI enumeratedFebruary 10, 2012
Last updated in NPPESFebruary 10, 2012
Mailing address6412 Mallard View Ln, Charlotte, NC 28269-5121

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