| Organization Name: | UNIVERSE OPTIMAX INC |
| NPI Number: | 1023426756 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHNNY HOM (OWNER) |
| Mailing Address: | 5632 Dempster St Morton Grove |
| State: | IL US |
| Postal Code: | 600533100 |
| Phone Number: | 8474145001 |
| Fax Number: | 8775780906 |
| NPI Enumeration Date: | 07/25/2014 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |