Optum Infusion Services 204, Inc is a medical equipment supplier participated in Medicare, by U.S Centers for Medicare & Medicaid Services (CMS). The Provider Transaction Access Number (PTAN) is #4680040003. The address is 4220 Executive Cir, Ste 62, Fort Myers, FL 33916-8005.
| Provider Transaction Access Number (PTAN) | 4680040003 |
| Practice Name | OPTUM INFUSION SERVICES 204 INC |
| Business Name | OPTUM INFUSION SERVICES 204, INC |
| Address |
4220 Executive Cir Ste 62 Fort Myers FL 33916-8005 |
| Telephone | 2395612388 |
| Participation Begin Date | 2021-05-06 |
| Specialities List | Pharmacy |
| Supplies List |
Immunosuppressive Drugs Infusion Drugs External Infusion Pumps and/or Supplies Implanted Infusion Pumps and/or Supplies Enteral Nutrients Enteral Equipment and/or Supplies Parenteral Nutrients Parenteral Equipment and/or Supplies Surgical Dressings |
| Accepts Assignement | True |
| Contracted for Competitive Bidding Area (CBA) | False |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 8509 Benjamin Rd, Ste A, Tampa, FL 33634-1224 | 8138865866 | 2021-05-06 |
| Optum Infusion Services 204, Inc · Optum Infusion Services 204 Inc | 201 N Tarragona St, Pensacola, FL 32502-4843 | 8504301259 | 2021-05-06 |
| Street Address |
4220 EXECUTIVE CIR STE 62 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-8005 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| National Seating & Mobility Inc · National Seating & Mobility, Inc. | 4300 Ford Street Ext., Unit 101, Fort Myers, FL 33916-9318 | 2399367070 | 2001-01-01 |
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Walgreen Co · Walgreens #4004 | 12749 S Cleveland Ave, Fort Myers, FL 33907-3806 | 2399392142 | 2020-03-01 |
| Lee Memorial Health System · Lee Pharmacy 1 | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2394241503 | 2019-01-17 |
| Option Care Enterprises Inc | 14580 Global Parkway, Suite 108, Fort Myers, FL 33913-8887 | 2395613456 | 2021-01-01 |
| Lee Memorial Health System · Lee Pharmacy 2 | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2393435100 | 2019-01-17 |
| Walgreen Co · Walgreens #3628 | 4204 Palm Beach Blvd, Fort Myers, FL 33905-3413 | 2396942114 | 2020-03-01 |
| Walgreen Co · Walgreens #6473 | 13551 Mcgregor Blvd, Fort Myers, FL 33919-6044 | 2394374042 | 2020-03-01 |
| Walgreen Co · Walgreens #11535 | 3501 Unique Circle, Fort Myers, FL 33908-4711 | 2392713924 | 2020-03-01 |
| Walgreen Co · Walgreens #12722 | 9150 Kings Crossing Rd, Fort Myers, FL 33912-0848 | 2392841702 | 2020-03-01 |
| Lee Memorial Health System · Access Infusion | 11220 Metro Pkwy, Ste 31, Fort Myers, FL 33966-1291 | 2393439784 | 2019-01-17 |
| Siddh Inc · San Carlos Pharmacy | 18911 S Tamiami Trl, Ste 13, Fort Myers, FL 33908-4739 | 2396581049 | 2020-06-23 |
| Find all suppliers in the same city | |||
| Supplier Name | Address | Telephone | Participation Begin Date |
|---|---|---|---|
| Optum Infusion Services 209 Inc | 1000 Business Center Dr, Ste 120, Savannah, GA 31405-7453 | 9123551053 | 2021-01-01 |
| Optum Infusion Services 308 LLC | 6547 S Racine Cir, Ste 300, Centennial, CO 80111-6448 | 3037081124 | 2017-01-01 |
| Optum Infusion Services 103 LLC | 9204 Berger Rd, Ste A, Columbia, MD 21046-1729 | 8007156650 | 2010-02-01 |
| Optum Infusion Services 209 Inc | 425 Franklin Gateway, Ste 535, Marietta, GA 30067-7748 | 7704203393 | 2021-01-01 |
| Optum Infusion Services 202, Inc. | 9655 Florida Mining Blvd W, Ste 411, Jacksonville, FL 32257-2041 | 9046521990 | 2021-01-01 |
| Optum Infusion Services 305 LLC · Optum Infusion Services 305, LLC | 11211 Industriplex Blvd, Ste 900, Baton Rouge, LA 70809-4178 | 8003900914 | 2009-06-01 |
| Optum Infusion Services 305 LLC | 15529 College Blvd, Lenexa, KS 66219-1351 | 8773429352 | 2009-06-01 |
| Optum Infusion Services 308 LLC | 460 S. Benson Lane, Ste 11-12, Chandler, AZ 85224-5663 | 8887054470 | 2017-01-01 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc | 5627 University Hts, Ste 105, San Antonio, TX 78249-3583 | 8445537131 | 2017-08-11 |
| Optum Infusion Services 500 Inc · Optum Infusion Services 500, Inc. | 2685 Patton Rd, Roseville, MN 55113-1137 | 6514358142 | 2017-08-11 |
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This dataset includes 60 thousand medical equipment suppliers participated in Medicare, provided by U.S Centers for Medicare & Medicaid Services (CMS). The information on medical equipment suppliers include Provider Transaction Access Number (PTAN), business name, practice name, address, phone number, etc.