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 | 251E00000X Home Health |
332B00000X Durable Medical Equipment & Medical Supplies | |
332S00000X Hearing Aid Equipment | |
333600000X Pharmacy | |
335E00000X Prosthetic/Orthotic Supplier | |
347E00000X Transportation Broker | |
Enumeration Date | 2005-08-04 |
Last Update Date | 2017-03-13 |