| NPI | 1174524797 |
|---|---|
| Doing Business As | OPTUM WORKERS COMPENSATION MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BENCIVENGA General Counsel 813-318-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMER 23503) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| 347E00000X Transportation Broker | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 251E00000X Home Health | |
| 333600000X Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2017-03-13 |