| NPI | 1629364773 |
|---|---|
| Doing Business As | OPTUM MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | LARS PETER NIELSEN Director 952-936-3084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |