MEDICARE: OGLES OXYGEN, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1164380267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OGLES OXYGEN, LLC

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	329 GEES MILL BUSINESS PKWY NE STE 80
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1563
Country	:	US
Telephone Number	:	610-424-4515
Fax Number	:

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “OGLES OXYGEN, LLC ” Practice Location

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