MEDICARE: OPTION CARE ENTERPRISES, INC.

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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1912542150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTION CARE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1330
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60690-1330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 AVIATION PKWY STE 700
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8540
Country	:	US
Telephone Number	:	919-481-9110
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CFO
Name	:	MICHAEL SHAPIRO
Credential	:
Telephone Number	:	800-879-6137

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	04/14/2022

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