Provider Demographics
NPI:1326069659
Name:OPCARE, INC.
Entity Type:Organization
Organization Name:OPCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-387-1885
Mailing Address - Street 1:366 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3426
Mailing Address - Country:US
Mailing Address - Phone:617-387-1885
Mailing Address - Fax:617-663-6209
Practice Address - Street 1:366 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3426
Practice Address - Country:US
Practice Address - Phone:617-387-1885
Practice Address - Fax:617-663-6209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5482040001Medicare NSC