MEDICARE: OPTICARE HOME HEALTH SERVICES 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962649756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICARE HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	1901 W IRVING BLVD
Second Line	:	STE 400
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	469-693-8185
Fax Number	:	972-259-3947

Provider Business Practice Location Address
First Line	:	1901 W IRVING BLVD
Second Line	:	STE 400
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	469-693-8185
Fax Number	:	972-259-3947

Authorized Official
Title or Position	:	OWNER
Name	:	RISPER ABUGA
Credential	:	RPH
Telephone Number	:	469-693-8185

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	01/15/2009

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