MEDICARE: OPTUM INFUSION SERVICES 550, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	3336C0003X	Community/Retail Pharmacy
6	3336C0004X	Compounding Pharmacy
7	3336S0011X	Specialty Pharmacy
8	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1851337778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM INFUSION SERVICES 550, LLC

Provider Business Mailing Address
First Line	:	1 OPTUM CIR STE 100
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-2503
Country	:	US
Telephone Number	:	800-328-5979
Fax Number	:

Provider Business Practice Location Address
First Line	:	7167 E KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1028
Country	:	US
Telephone Number	:	513-792-7080
Fax Number	:	513-792-3838

Authorized Official
Title or Position	:	SECRETARY
Name	:	KEVIN EUGENE BURR
Credential	:
Telephone Number	:	712-310-4701

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	12/04/2024

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