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NPI Code Detail

MEDICARE: OPTUM INFUSION SERVICES 204, INC.

MEDICARE: OPTUM INFUSION SERVICES 204, 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
1251E00000XHome Health Agency
23336C0004XCompounding Pharmacy
33336H0001XHome Infusion Therapy Pharmacy

General Provider Information

NPI Number : 1982795209
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTUM INFUSION SERVICES 204, INC.
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 : 8509 BENJAMIN RD STE A
Second Line :
City : TAMPA
State : FL
Zip : 33634-1224
Country : US
Telephone Number : 800-999-5433
Fax Number : 844-815-9880
Authorized Official
Title or Position : SECRETARY
Name : KEVIN EUGENE BURR
Credential :
Telephone Number : 712-310-4701
Provider Enumeration Date : 09/28/2006
Last Update Date : 10/29/2025

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Directions to “OPTUM INFUSION SERVICES 204, INC. ” Practice Location

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