OrganizationActive
Optum Infusion Services 404, LLC
NPI 1972640712 · Home Infusion Therapy Pharmacy · Bend, OR
Provider details
- NPI number
- 1972640712
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Denise Mccabe, Secretary(952) 935-1191
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2065 Ne Williamson Ct Ste B
Bend, OR 97701-3867
Phone: (877) 212-3516
Fax: (877) 212-5611
Street-level locationGet directions
Mailing address
1 Optum Cir Ste 100
Eden Prairie, MN 55344-2956
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.