Healthcare Provider Details

I. General information

NPI: 1598885451
Provider Name (Legal Business Name): OPTIMISTIC MEDICAL EQUIPMENT SUPPLY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 GLENSPRINGS DR STE 400
SPRINGDALE OH
45246-2392
US

IV. Provider business mailing address

375 GLENSPRINGS DR STE 400
SPRINGDALE OH
45246-2392
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-3378
  • Fax: 513-771-3381
Mailing address:
  • Phone: 513-771-3378
  • Fax: 513-771-3381

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 Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN-COLLINS UWAEZUOKE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 513-257-8485