Organization
OPTUM INFUSION SERVICES 100, INC.
Active
Parent organization
OPTUM INFUSION SERVICES 100, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTUM INFUSION SERVICES 100, INC.
Authorized official
EDWARD KRAMM (PRESIDENT)
(877) 342-9352
Entity
Organization
Contact information
Practice address
25 POST RD, STE. 5, ALBANY, NY 12205-4781
(518) 218-1772
(518) 218-1093
Mailing address
15529 COLLEGE BLVD, LENEXA, KS 66219-1351
(844) 902-9352
(877) 542-9352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
033657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7422240001
—
NY
Enumeration date
07/08/2015
Last updated
02/15/2023
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