Provider Demographics
NPI:1487343778
Name:OPTIMUM BILLING SERVICES LLC
Entity type:Organization
Organization Name:OPTIMUM BILLING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-440-1244
Mailing Address - Street 1:18639 BABLER MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63038-1177
Mailing Address - Country:US
Mailing Address - Phone:314-440-1244
Mailing Address - Fax:
Practice Address - Street 1:18639 BABLER MEADOWS DR
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63038-1177
Practice Address - Country:US
Practice Address - Phone:314-440-1244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management