Provider Demographics
NPI:1962649756
Name:OPTICARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:OPTICARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RISPER
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUGA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:469-693-8185
Mailing Address - Street 1:1901 W IRVING BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-6823
Mailing Address - Country:US
Mailing Address - Phone:469-693-8185
Mailing Address - Fax:972-259-3947
Practice Address - Street 1:1901 W IRVING BLVD
Practice Address - Street 2:STE 400
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-6823
Practice Address - Country:US
Practice Address - Phone:469-693-8185
Practice Address - Fax:972-259-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health