MEDICARE: OPTIMAL RECOVERY SYSTEMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023422821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL RECOVERY SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	5656 BEE CAVES RD STE K200
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5811
Country	:	US
Telephone Number	:	512-415-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	5656 BEE CAVES RD STE K200
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5811
Country	:	US
Telephone Number	:	512-415-5151
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT SPANN
Credential	:
Telephone Number	:	512-415-5151

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	06/23/2014

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