Provider Demographics
NPI:1962851378
Name:OPTIMAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:OPTIMAL HEALTH SOLUTIONS
Other - Org Name:ALLSTAR MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-980-9278
Mailing Address - Street 1:390 N BROADWAY STE 1400
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1259
Mailing Address - Country:US
Mailing Address - Phone:800-980-9278
Mailing Address - Fax:800-887-4198
Practice Address - Street 1:390 N BROADWAY STE 1400
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070
Practice Address - Country:US
Practice Address - Phone:800-980-9278
Practice Address - Fax:800-887-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies