Healthcare Provider Details

I. General information

NPI: 1548453871
Provider Name (Legal Business Name): OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HANCOCK ST
ELLSWORTH ME
04605-2015
US

IV. Provider business mailing address

PO BOX 213
BAR HARBOR ME
04609-0213
US

V. Phone/Fax

Practice location:
  • Phone: 207-667-8200
  • Fax:
Mailing address:
  • Phone: 207-667-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. LYNN BENSON
Title or Position: OWNER
Credential: CMF
Phone: 207-667-8200