Provider Demographics
NPI:1346087178
Name:OPTICARE IN HOME SERVICES INC
Entity type:Organization
Organization Name:OPTICARE IN HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-475-1596
Mailing Address - Street 1:5877 COMMERCE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3835
Mailing Address - Country:US
Mailing Address - Phone:412-475-1596
Mailing Address - Fax:
Practice Address - Street 1:5877 COMMERCE ST STE 225
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3835
Practice Address - Country:US
Practice Address - Phone:412-475-1596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care