Optumcare Management, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312625 Issued in FL

Legal business name

OPTUMCARE MANAGEMENT, LLC

Practice address

3150 W Prospect Rd
Suite 320
Fort Lauderdale, FL 33309-2597

Phone

(954) 677-1011

Fax

(954) 677-0922

NPI assigned

Jul 20, 2005

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John G. Liethen

Title

Secretary

Phone

(952) 205-6262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1568461655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 W PROSPECT RD",
            "address_2": "SUITE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092597",
            "telephone_number": "954-677-1011",
            "fax_number": "954-677-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W PROSPECT RD",
            "address_2": "SUITE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092597",
            "telephone_number": "954-677-1011",
            "fax_number": "954-677-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "LIETHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-205-6262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HME LICENSE",
            "identifier": "1312625",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Health Pharmacy of Sistrunk LLC
• Optimind Medical Group LLC
• Optimyze Chiropractic and Performance Center
• Optimyze Counseling Services LLC
• Optometry Holdings, LLC
• Opulent Behavioral Healthcare Inc
• Dilianys Oquendo, BS
• Oracle Diagnostics LLC
• Daniel Oraham, MD
• Orchid Diversifeld Services Inc (Leisure Living of Victoria Park)

• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.