Healthcare Provider Details

I. General information

NPI: 1912542150
Provider Name (Legal Business Name): OPTION CARE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 AVIATION PKWY STE 700
MORRISVILLE NC
27560-8540
US

IV. Provider business mailing address

PO BOX 1330
CHICAGO IL
60690-1330
US

V. Phone/Fax

Practice location:
  • Phone: 919-481-9110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SHAPIRO
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137