Provider Demographics
NPI:1598885451
Name:OPTIMISTIC MEDICAL EQUIPMENT SUPPLY SERVICES, LLC
Entity Type:Organization
Organization Name:OPTIMISTIC MEDICAL EQUIPMENT SUPPLY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN-COLLINS
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAEZUOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-257-8485
Mailing Address - Street 1:375 GLENSPRINGS DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2392
Mailing Address - Country:US
Mailing Address - Phone:513-771-3378
Mailing Address - Fax:513-771-3381
Practice Address - Street 1:375 GLENSPRINGS DR STE 400
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-2392
Practice Address - Country:US
Practice Address - Phone:513-771-3378
Practice Address - Fax:513-771-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3416L0300XTransportation ServicesAmbulanceLand Transport
No347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2733000Medicaid
5917850001Medicare NSC