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Our Provider Network ListingWelcome to our Provider Network! Note that we have many Networks to suit different Clients so make certain you are using the right List. Check with your Insurance Company, HRD or with our Customer Service staff if you are not sure.
This is our Network List for Optik Internasional.
If you are not certain what services you are entitled to use on a cashless basis, please check your insurance policy or talk to your Human Resources Department (HRD). If you would like details of our other network providers, an "All Providers" list is available from our website at www.medilum.com.
The cashless medical services available from each of the Facilities listed are indicated with a P mark (see below). Note also that the cashless services available to you personally will depend on your insurance policy or company entitlements.
If you have any questions regarding this list, or if you experience any problems of any kind in accessing services from these Providers, please call the customer service number on the back of your Membership Card or call us on (021) 29634800.
We continue to build and expand our Network of Providers to suit our clients - so please check for updates to this list at our website www.medilum.com.
Abbreviations used below are as follows...IP = Inpatient services MA = Maternity Services OP = Outpatient services DB = Basic Dental services
DC = Complex Dental services Opt = Optical services MC = Medical Checkup services
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
INDONESIA
State/Province: Bali
DenpasarPJl. Diponegoro 100 Komp. Pert.
Diponegoro Megah B1 B2Optical 0361-262809Optik Internasional Diponegoro
PJl. Gajahmada No. 13 TabananOptical 0361-Optik Internasional Jl. GajahmadaPJl. Letda Made Putra Pertokoan
Kartika UdayanaOptical 0361-254304Optik Internasional Jl. Letda Made
PutraPJl. Mandara Giri (Komplek Pertokoan
Mall Hardys GianyarOptical 0361-942192Optik Internasional Jl. Mandara Giri
PJl. PB. Sudirman Kav. 10A Pertokoan Udayana
Optical 0361-254329Optik Internasional Jl. PB. Sudirman Kav. 10A
PJl. Teuku Umar Barat No. 196 Denpasar
Optical 0361-490716Optik Internasional Jl. Teuku Umar Barat No. 196
PJl Letjen Sutoyo Super Market Tiara Dewata
Optical 0361-265077Optik Internasional Tiara Super Market Tiara Dewata
PJl. Sudirman No. 43 Singaraja
Optical 0326-24655 Optik Internasional Singaraja
State/Province: Bangka-Belitung
Pangkal PinangPJl. Soekarno Hatta No.282Optical 0717-438646Optik Internasional Pangkal PinangPPangkal Pinang Trade Centre Lt. Ds
C.37-38Jl. Letkol Rusdi Ramli Pangkal Pinang
2 Pangkal Pina
Optical 0717-4261542Optik Internasional Pangkal Pinang Trade Center
PJl Jendral Sudirman No.97Optical 0717-93324Optik Internasional Sungai Liat
Tanjung PandanPRukan Sriwijaya Blok C 5 Jl SriwijayaOptical 0719-23948Optik Internasional Tanjung Pandan
State/Province: Banten
SerangPruko cipare no.3 jl. Jend. A. yani
(depan RS.kencana) SerangOptical 0254-220308Optik Internasional ruko cipare
Serang
TangerangPITC Bumi Serpong Damai Lt. Ds. Blok
D-34 no. 6-7 jalan Pahlawan Seribu Tangerang
Optical 021-53161704Optik Internasional ITC Bumi Serpong Damai
PRuko flourite Blok F R 70 Jl. Kelapa Gading Utara, Gading Serpong, Tangerang
Optical 021-5464080Optik Internasional Ruko flourite
State/Province: Bengkulu
PJl. M.T. Haryono Simpang Tengah Padang
Optical 0736-346990Optik Internasional Bengkulu
PMega Mall BenGkulu Lt. Ds. No.6 Jl. Kz. Abidin II;Pasar Minggu BengkuluMega Mall BenGkulu Lt.
Optical 0736-343118Optik Internasional Mega Mall Bengkulu
State/Province: Gorontalo
PGorontalo mall Lt.1 TD. 31 Jl Sultan Batubihe No. 8D
Optical 0435-8592558Optik Internasional Gorontalo mall
PJl. A. Yani No. 143 GorontaloOptical 0435-827241Optik Internasional Jl. A. Yani No. 143 Gorontalo
Released: 5 January 2015, 1:08:07PM Page 2 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Jakarta
Jakarta BaratPkomp. Perumahan citra garden city
1,ruko d7 no.05 jkt baratOptical 021-5404908Optik Internasional citra garden city
1PMall Central Park lantai LG unit 151Optical 021-56985432Optik Lookz+ Mall Central Park
Jakarta PusatPEX Plaza Indonesia Floor Unit 25 26Optical 021-31990237Apotik Lookz+ EX Plaza IndonesiaPPlaza Indonesia, unit L5 # E18BOptical 021-29923871Optik Lookz+ Plaza IndonesiaPSenayan City Unit LG 25Optical 021-72781581Optik Lookz+ Senayan City
Jakarta SelatanPITC Permata Hijau, Jl. Arteri permata
hijau lantai ground blok C-20 no.1& 2 Jakarta Selatan
Optical 021-53663166Optik Internasional ITC Permata Hijau
PJalan RS. Fatmawati 22-A Cipete Jakarta Selatan
Optical 021-7692428Optik Internasional Berkelas
PITC Kuningan jalan Prof.dr. Satrio lantai dasar B4 no. 33a Jakarta Selatan
Optical 021-57934916Optik Internasional ITC Kuningan
PPoint Square lantai ground A-133 & 135 Jl. Lingkar Luar Selatan (depan Carefour Leba
Optical 021-75921266Optik Internasional Point Square
PKuningan City, LG-03, Kuningan Setyabudi
Optical 021-30480768Optik Lookz+ Kuningan City
Jakarta TimurPPGC Lt. 1 No. 432-433 Jl. Mayjen
Sutoyo No.76 Cililitan-Kramat JAti Jakarta Timur
Optical 021-30016206Optik Internasional PGC
PJl. Perserikatan no.7-8 Rawamangun Jakarta Timur
Optical 021-47864817Optik Internasional Rawamangun
Jakarta UtaraPMangga Dua Square lantai lower
ground blok A no. 91& 92 Jakarta Utara
Optical 021-62312872Optik Internasional Mangga Dua Square
State/Province: Jambi
PJl. Husni Thamrin No 110 Simpang Mangga
Optical 0741-7554120Optik Internasional Jambi 1
PMall WTC Batanghari Lt DAsar Blok E No 1, Jl. Sultan Taha Jambi
Optical 0741-7837017Optik Internasional Jambi 2 (WTC)
PJl. Kol Abunjani No 11 SIPIN JambiOptical 0741-3020178Optik internasional Jambi 3PJl. Husni Tamrin No.110 Simpang
ManggaOptical 0741-7554120Optik Internasional Jl. Husni Tamrin
No.110 JambiPJl. Kolonel Abunjani No. 11 SipinOptical 0741-3020178Optik Internasional Jl. Kolonel
Abunjani JambiPWTC BatangHari Lt. Ds. Blok E No.1
Jl. Sultan TahaOptical 0741-7837017Optik Internasional WTC
BatangHari Jambi
State/Province: Jawa Barat
Released: 5 January 2015, 1:08:07PM Page 3 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Jawa Barat
BandungPBandung Trade Center lower ground
blok D III no. 359Optical 022-6126367Optik Internasional Bandung Trade
CenterPJalan Buah Batu no. 141Optical 022-7318801Optik Internasional Buah BatuPJalan A. Yani no. 830-I CicaheumOptical 022-7275775Optik Internasional CicaheumPCimahi Mall GF C1 jl Ganda Wijaya No
5Optical 022-86615809Optik Internasional Cimahi Mall
PCIWALK ground floor no. G-37 jalan Cihampelas no. 160
Optical 022-2061106Optik Internasional Ciwalk
PFestival City Link LG-16 Jl. Peta No 241
Optical 022-6128696Optik Internasional Festival City Link
PKiaracondong No 246Optical 022-7312726Optik Internasional KiaracondongPJalan Kopo no. 351Optical 022-5408884Optik Internasional KopoPJalan Lengkong Besar no. 5Optical 022-4235846Optik Internasional Lengkong BesarPJalan Setiabudi no. 169-DOptical 022-2000577Apotik Internasional Setiabudi
BekasiPJl. Alternatif Cibubur Km.4 Jatikarya
CibuburOptical 021-84309531Optik Internasional Alternatif
CibuburPMega Bekasi Hyper Mall lantai 1 no.
12A,15A,18A; jalan A. YaniNo.1 Bekasi Barat
Optical 021-88962586Optik Internasional Mega Bekasi Hyper Mall
BogorPEkalokasari Plaza lantai 1 kios 1.32
jalan Siliwangi 123Optical 0251-362976Optik Internasional Ekalokasari
PlazaPRuko jalan Surya Kencana no. 207
BogorOptical 0251-376984Optik Internasional Surya Kencana
DepokPRuko Pasar Segar Cinere Blok RA. No.
07 Jl. Cinere Raya DepokOptical 021-7530955Optik Internasional Cinere
PITC Depok lantai ground blok B jalan Margonda Raya 55-56 Depok
Optical 021-7755717Optik Internasional ITC Depok
PLippo Depok Town Square lantai upper ground blok UO8 no 5-6 jalan Margonda raya No.351-aDe
Optical 021-78870181Optik Internasional Lippo Depok Town Square
KarawangPJl. Ahmad Yani No. 99C (Depan Mega
Mall)Optical 0267-8454523Optik Internasional Jl. Ahmad Yani
KarawangPKarawang Central Plaza Lt. Dasar A
10A Jl. Galuh MasrayaOptical 0267-8636601Optik Internasional Karawang
Central Plaza
PurwakartaPCikampek Mall Jl. A.Yani lantai dasar
blok C.55 56Optical 0264-304649Optik Internasional Cikampek Mall
PPurwakarta Jl. Veteran No 33Optical 0264-8225474Optik Internasional Jl. Veteran
State/Province: Jawa Tengah
MagelangPPlaza Cilacap Lt. Dasar Unit No. 02 Jl.
R.E. Martadinata Komplek Pasar GedeOptical 0282-521581Optik Internasional Plaza Cilacap
PArtos Mall Ground Floor Unit GF No .14 Jl Mayjen Bambang Sugeng No 1
Optical 0343-425606Optik Internasional Artos Mall
PJl. Jendral A. Yani No. 162 COptical 0282-533063Optik Internasional Jl Jend A Yani Cilacap
SalatigaPKudus Plaza jalan LukmonohadiOptical 0291-436517Optik Internasional Kudus Plaza
Released: 5 January 2015, 1:08:07PM Page 4 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Jawa Tengah
SemarangPRuko Pandanaran Blok 5 no.6 jalan
PandanaranOptical 024-8412309Optik Internasional Ruko
Pandanaran
SoloPGrand Mall lantai dasar blok C-1 no.5
jalan Slamet Riyadi no. 273Optical 0271-733644Optik Internasional Grand Mall Solo
State/Province: Jawa Timur
BatuPBatu plaza Jalan Diponegoro Batu
MalangOptical 0341-593049Optik Internasional Batu plaza
PJl. Diponegoro No. 44 Batu MalangOptical 0341-5025271Optik Internasional Jl. Diponegoro No. 44 Batu
BlitarPJl. A Yani No. 93B BanyuwangiOptical 0333-422198Optik Internasional Jl. A Yani No.
93B Banyuwangi
BojonegoroPJalan KH. Wahid Hasyim no. 34
BondowosoOptical 0332-427073Optik Internasional Bondowoso
PJl. PB Sudirman No 48 BanyuwangiOptical 0333-424990Optik Internasional Jl. PB Sudirman No 48
JombangPPertokoan Citra Niaga Blok A Jalan A.
Yani no. 10Optical 0321-860978Optik Internasional Jombang
KediriPJalan Panglima Sudirman no. 5 KediriOptical 0354-682167Optik Internasional Kediri
MalangPMalang Town Square Blok GO-18 no.1
jalan VeteranOptical 0341-559078Optik Internasional Malang Town
SquarePJl. Semeru Selatan No 51 A DampitOptical 0341-898617Optik Internasional DampitPJalan Borobudur Agung no. 1AOptical 0341-476044Optik Internasional Jl Borobudur
Agung no. 1APJalan MT. Haryono no. 167A DinoyoOptical 0341-551830Optik Internasional Jl MT. Haryono
no. 167APJl. A Yani No. 14B BlimbingOptical 0341-417899Optik Internasional Jl. A Yani No.
14B BlimbingPJl. Dr. Sutomo No. 58 A-02 LawangOptical 0341-422607Optik Internasional Jl. Dr. Sutomo
No. 58 A-02PJl. Raya Tamrin Blok A-CK LawangOptical 0341-422075Optik Internasional Jl. Raya Tamrin
Blok A-CKPJl. A. Yani No 8 KepanjenOptical 0341-396360Optik Internasional KepanjenPMall Olympic Garden Lantai Ground
No. 2Optical 0341-363396Optik Internasional Mall Olympic
Garden Lt G No. 2PMall Olympic Garden Lantai Ground
No.77-87Optical 0341-363107Optik Internasional Mall Olympic
Garden Lt G No.77PSukarjo Wiryopranoto no. 25Optical 0341-364054Optik Internasional Sukarjo
Wiryopranoto no. 25PSukarjo Wiryopranoto no. 25-BOptical 0341-343601Optik Internasional Sukarjo
Wiryopranoto no. 25-BPSukarjo Wiryopranoto no. 2-IOptical 0341-364851Optik Internasional Sukarjo
Wiryopranoto no. 2-IPJl. MT Haryono No 153, Dinoyo
MalangOptical 0341-554164Optik Internasional Tiara Dinoyo
PJl. Sukarjo Wiryopranoto No. 25Optical 0341-364054 Optik Internasional Malang
Released: 5 January 2015, 1:08:07PM Page 5 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Jawa Timur
PasuruanPJalan Raya Ruko Pasar Besar Blok A
no. 30 PasuruanOptical 0343-427002Optik Internasional Jl Raya Ruko
Pasar Besar BlokPJl. Panglima Sudirman No. 40n.
PasuruanOptical 0343-425606Optik Internasional Jl. Panglima
Sudirman No. 40PJl A.Yani No.38 Pandaan PasuruanOptical 0343-638379Optik Internasional Pandaan
ProbolinggoPRuko Probolinggo Plaza B1-B2 ; Jalan
dr. SoetomoOptical 0335-422357Optik Internasional Probolinggo
SidoarjoPJl. Panglima Sudirman No. 96 BOptical 0341-450274Optik Internasional SingosariPJl. A. Yani No. 3F SidoarjoOptical 031-8050334Optik Internasional Jl. A. Yani
SidoarjoPJl. Gajahmada 159 SidoarjoOptical 031-8925977Optik Internasional Jl. Gajahmada
SidoarjoPJl. Raya Tropodo B3B (Depan Central
Tropodo) WaruOptical 031-8682923Optik Internasional Jl. Raya
Tropodo B3B SidoarjoPJl. Trunojoyo No. 51 JemberOptical 0331-487204Optik Internasional Jl. Trunojoyo
No. 51 JemberPRuko Johar Plaza ; jalan Diponegoro
JemberOptical 0331-485505Optik Internasional Ruko Johar
Plaza JemberPRuko Pasar Mimbaan Kota ; Jl. Irian
Jaya no. 3-P SitubondoOptical 0338-672060Optik Internasional Situbondo
SurabayaPBubutan Golden Junction Lt. GF C 51
Jl Bubutan No 1-7Optical 031-33608611Optik Internasional Bubutan Golden
JunctionPJalan Blauran no. 82Optical 031-5315160Optik Internasional Jalan Blauran
no. 82PJalan Blauran no. 92Optical 031-5320989Optik Internasional Jalan Blauran
no. 92PMaspion Square (Giant Hypermarket)
jalan A. yaniOptical 031-8478606Optik Internasional Maspion Square
(Giant HypermarPPakuwon Trade Center lantai dasar
blok C5-01 jalan Puncak Indah LontarOptical 031-7390746Optik Internasional Pakuwon Trade
CenterPKomplek Citra Logam Mulia Blok C 156
Jl. Kabupaten No.06 PamekasanOptical 0324-3205129Optik Internasional Pamekasan
PJalan Trunojoyo no. 43 SumenepOptical 0328-668771Optik Internasional Sumenep
TubanPJl. Basuki Rahmat Ruko No. 14Optical 0356-7058821Optik Internasional Tuban
State/Province: Kalimantan Barat
KetapangPjalan R. Suprapto KetapangOptical 0534-3036636Optik Internasional Ketapang
NgabangPJl. Pemuda Sebelah Masjid Suhada
Tukul NgabangOptical 0563-2022805Optik Internasional Ngabang
PontianakPA. Yani Mega Mall Lt. Ds. BG. 20 Jl. A.
YaniOptical 0561-761342Optik Internasional A. Yani Mega
MallPJl. Gajah Mada No. 46/Gg. 24Optical 0561-738159Optik Internasional Jl. Gajah Mada
No. 46/Gg. 24PJl. Gajah Mada No. 888 Depan Pasar
FlamboyanOptical 0561-731178Optik Internasional Jl. Gajah Mada
No. 888PKimia Farma Jl. Tanjung Pura No. 419Optical 0561-734799Optik Internasional Kimia Farma
PontianakPJl. Urip Kel. Barat matahari Mall Lantai
I No.37Optical 0561-730391Optik Internasional Matahari Mall
Released: 5 January 2015, 1:08:07PM Page 6 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Kalimantan Barat
SanggauPJl. A. Yani No.4 SanggauOptical 0564-21258Optik Internasional Sanggau
SintangJalan Lintas MelawiOptical 0565-23563Optik Internasional Sintang
State/Province: Kalimantan Selatan
BanjarbaruPJl. Veteran No. 36 KotabaruOptical 0518-21028Apotik Internasional Kotabaru
BanjarmasinPDuta Mall Ground Floor No. 19 Jl. A.
Yani Km 2Optical 0511-4364479Optik Internasional Duta Mall
BanjarmasinPJl. Pangeran Antasari mitra Plaza
Lantai No.1 A DP.4Optical 0511-3258941Optik Internasional Mitra Plaza
BanjarmasinPJl. A.Yani Km. 1,5 No. 51Optical 0511-3253927Optik Tiara Jl. A.Yani Km. 1,5 No.
51
State/Province: Kalimantan Tengah
Palangka RayaPJl. A.Yani No. 23 Komplek Pertokoan
FlamboyanOptical 0536-3222625Optik Internasional Jl. A.Yani No. 23
PalangkarayaPPalangkaraya Mall Lt. Ds. No.D48 Jl.
Tjilik Riwut Km 1Optical 0536-3241323Optik Internasional Palangkaraya
MallPJl. A.Yani Blok C No.60Optical 0536-3239094Optik Tiara Jl. A.Yani Blok C No.60
Pangkalan BunPJl. Diponegoro No. 42 Pangkalan bunOptical 0532-25898Optik Internasional Pangkalan Bun
SampitPJl. M.T.Haryono No. 68 SampitOptical 0531-23233Optik Internasional Sampit
State/Province: Kalimantan Timur
BalikpapanPJl. Jend A Yani No 3A Gunungsari HilirOptical 0542-412069Optik Internasional Balikpapan 1PPlaza Muara Kapak Lt I Blok 1C No.
10-11 Jl. Soekarno Hatta BalikpapanOptical 0542-747891Optik Internasional Balikpapan 2
PJl Jend A Yani No 42 Gunungan HilirOptical 0542-423565Optik Internasional Balikpapan 3PBalikpapan Trade Center LT. 1 kios
No.. 182-183Optical 0542-7589138Optik Internasional Balikpapan
Trade CenterPJl. Jend. A. Yani No. 3A Gunungsari
HilirOptical 0542-412069Optik Internasional Jl. Jend. A. Yani
No. 3APJl. Jend. A. Yani No. 42 Gunungsari
HilirOptical 0542-423565Optik Internasional Jl. Jend. A. Yani
No. 42PPlaza Muara rapak Lt. 1 Blok TC 10-11
Jl. Soekarno-HattaOptical 0542-747891Optik Internasional Plaza Muara
rapak
BerauPJl. AKB Sanita RT.20 No.679 Tanjung
RedepOptical 0554-23597Optik Internasional Berau
BontangPjalan M.T. Haryono 28-A (Depan
Rudal) BontangOptical 0548-28787Optik Internasional Bontang
Released: 5 January 2015, 1:08:07PM Page 7 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Kalimantan Timur
SamarindaPJl. Niaga Barat No. 30A Komplek
Niaga Blok AOptical 0541-742419Optik Internasional Jl. Niaga Barat
No. 30APJl. Niaga Utara Blok F.5Optical 0541-733232Optik Internasional Jl. Niaga Utara
Blok F.5PJl. M. Yamin S. Parman Mall
Lembuswana Lt.I No.1,2,3Optical 0541-746625Optik Internasional Mall
Lembuswana
SangattaPJl. Yos Sudarso II No. 01Optical 0549-2028288Optik Internasional Sangata
TarakanPGrand Tarakan mall Lt.Ds.No.12 & 15
Jl. Yos Sudarso 88Optical 0551-25277Optik Internasional Grand Tarakan
mallPJl. Yos Sudarso No. 03 karangrejo
Tarakan BaratOptical 0551-33826Optik Internasional Tarakan Barat
State/Province: Kalimantan Utara
NunukanPJl. A. Yani Nunukan Tengah NunukanOptical 0556-22761Optik Internasional Nunukan
State/Province: Kepulauan Riau
BatamPBCS Mall Lt II Blok E.10 No 2-3 Baloi
BatamOptical 0778-7435627Optik Internasional BCS Mall
PKomplek Pertokoan Bumi Ayu Lestari Blok D
Optical 0778-426893Optik Internasional Bumi Ayu Lestari Blok D Batam
PDiamond City mall Ground Floor Blok GF No.58; jl. Duyung Lubuk Baja
Optical 0778-400025Optik Internasional Diamond City mall
PMall Top 100 Jl Letjen Soeprapto LGA No 5 Batu Aji
Optical 0778-7492032Optik Internasional Mall Top 100
PPanbil Mall Lt. Ds. No. 38, 39, 54,55 Muka Kuning
Optical 0778-371027Optik Internasional Panbil Mall
Tanjung Balai KarimunPJl. A. Yani Kolong Blok A. No. 1
Tanjung Balai KarimunOptical 0777-326933Optik Internasional Tanjung Balai
Karimun
Tanjung PinangPJl. Harapan Raya (depan POM Bensin)Optical 0761-493383Optik Internasinal Pangkalan KerinciPJl. Merdeka No. 4Optical 0771-315573Optik Internasional Jl. Merdeka No.
4PRukan Sriwijaya Blok C-5 Tanjung
PandanOptical 0719-23948Optik Internasional Tanjung Pinang
PJl. DI Panjaitan Batu Sembilan Tanjung Pinang Timur
Optical 0771-441500Optik Internasional Tanjung Pinang Timur
State/Province: Lampung
Bandar LampungPJl. Pemuda No. 29-C/33Optical 0721-253079Optik Internasional lampungPJl. Tengku Umar No. 7COptical 0721-788057Optik Internasional KedatonPJl. Raden Intan no. 48 Tanjung KarangOptical 0721-242371Optik Internasional Tanjung Karang
State/Province: Maluku
Released: 5 January 2015, 1:08:07PM Page 8 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
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Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Maluku
AmbonPJl. Sultan Babullah NO.18 WaihaoingOptical 0911-312782Optik Internasional jalan sultan
babullahPJl. Tulukabessy No. 07Optical 0901-354164Optik Internasional Tuluka Bessy
TualPJl Jendral Sudirman Depan Ktr Diknas
MalukuOptical 0916-22243Optik Internasional Tual
State/Province: Maluku Utara
TernatePJl. Raya BastiongOptical 0921-3123424Optik Internasional Ternate
TobeloPJl. Kemakmuran Desa Gamsungi Kec.
TobeloKab. Halmahera Utara Maluku UtaraJl. Kemakmuran Desa G
Optical 0924-2621788Optik Internasional Tobelo
State/Province: Nanggroe Aceh Darussalam
Banda AcehPJl. Pante Pirak No. 13 (eks Jl. THM.
Daud Beureueh)Optical 0651-635912Optik Internasional Jl. Pante Pirak
No. 13PJl. Teuku Panglima Polem No. 58Optical 0651-26616Optik Internasional Jl. Teuku
Panglima Polem
BireunPJl. Sultan Iskandar Muda No. 103
(Depan Bank BPD cabang BireunOptical 0644-22287Optik Internasional Bireun
LangsaPJl. A.Yani (Depan Masjid raya)Optical 0641-22611Optik Internasional Langsa
LhokseumawePJl. Sukaramai No. 55 Lhokseumawe
Aceh UtaraOptical 0645-42949Optik Internasional Lhokseumawe
MeulabohPJl. Nasional No. 23 (samping Kanan
Depart. Agama) Aceh barat MeulabohOptical 0655-7551018Apotik Internasional Meulaboh
TakengonPJl. Sengeda Aceh Tengah TakengonOptical 0643-24599Optik Internasional Takengon
State/Province: Nusa Tenggara Barat
BimaPJl . A. Yani No. 14 BOptical 0374-42708Optik Internasional Bima
MataramPJl. Pejanggik Cakranegara No. 24Optical 0370-631854Optik Internasional Jl. Pejanggik
Cakranegara 24PJl. Pejanggik Cakranegara Blok C-4Optical 0370-631262Optik Internasional Jl. Pejanggik
Cakranegara BlokPJl. Panglima Sudirman No.76 / Jl.
Teuku HM Zainudin Majid No 82Optical 0376-2929242Optik Internasional Selong
Released: 5 January 2015, 1:08:07PM Page 9 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
-
Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Nusa Tenggara Barat
SumbawaPJl. Hasanudin No. 14 Sumbawa besarOptical 0371-27184Optik Internasional Sumbawa Besar
State/Province: Nusa Tenggara Timur
AttambuaPJl. Jendral Sudirman No . 44Optical 0389-22005Optik Internasional Atambua
KupangPJl. Timor Timur Raya Ruko I Oesapa
BaratOptical 0380-875234Optik Internasional Oesapa Barat
KupangPRuko E Jl. Urip Sumoharjo Depan
Bank Mandiri (Eks. Halte lama)Optical 0380-824333Optik Internasional Ruko E Kupang
PRuko Hotel Grand wisata Ende Jl Kelimutu No.32 Ende Flores
Optical 0381-22316Optik Internasional Ruko Hotel Grand wisata Ende
MaumerePJl. K.S. Tubun Rt. 09 Rw. 02 Kel.
Kotabaru Kec. Alok TimurOptical 0382 23609Optik Internasional Maumere
State/Province: Papua (Irian Jaya)
BiakPJL. IMAM BONJOL NO. 29 (SAMPING
RM JATIM)Optical 0981-25621Optik Internasional Biak
JayapuraPHola Plaza Lt.1 Blok A.1-2 Jl
RayaSentani Padang BulanOptical 0967-582872Optik Internasional Hola Plaza
P). Jl. Percetakan No. 76Optical 0967-521417Optik Internasional Jalan percetakan
PJl. Raya Abepura Saga SwalayanOptical 0967-588821Optik Internasional Saga SwalayanPSagu Indah Plaza Lt. 1 Blok B1 No.1
Jl. A. YaniOptical 0967-534670Optik Internasional Sagu Indah
Plaza
MeraukePJl. Raya Mandala 103Optical 0971-323799Optik Internasional Merauke
NabirePPertokoan Tugu Cendrawasih Jl. Yos
Soedarso No. 08Optical 0984-25373Optik Internasional Nabire
TimikaPJl. Yos Sudarso No. 17Optical 0901-323770Optik Internasional Timika
State/Province: Papua Barat
Fak FakPJl. Isak Teussa Fak FakOptical 0956-24226Optik Internasional Fak Fak
ManokwariPJl. Yos Sudarso Manokwari Papua
BaratOptical 0986-212221Optik Internasional Manokwari
SorongPJl. A. Yani Blok A No. 12 Pertokoan
YohanOptical 0951-328456Optik Internasional Sorong
State/Province: Riau
Released: 5 January 2015, 1:08:07PM Page 10 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
-
Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Riau
DuriPJl. Lintas Timur (MAHARAJA INDRA)
Pangkalan Kerinci RiauOptical 0761-493383Optik Internasional Pangkalan
KerinciPJl. Jend Sudirman (samping ramayana)
Duri Riau Prov Riau Kab Bengkalis, Kec Mandau, Kel Air Jamban
Optical 0765-92399Optik Internasional Pekanbaru Duri
PekanbaruPJl. Panglima Sudirman No. 326Optical 0761-20375Optik internasional Jl. Panglima
Sudirman No. 326PJl. Panglima Sudirman No.412Optical 0761-26343Optik Internasional Jl. Panglima
Sudirman No.412PJl. T. Tambusai (Jl. Nangka) No. 363Optical 0761-22226Optik Internasional Jl. T. TambusaiPMall Ciputra Lt. 1 No. 12A Jl. RiauOptical 0761-868673Optik Internasional Mall CiputraPMall SKA Lt. 1 No. 30-31 Jl. Soekarno
HattaOptical 0761-864211Optik Internasional Mall SKA
PJl. HR Soebrantas No. 55 Panam - Pekanbaru
Optical 0761-66434Optik Internasional Panam 1 PKB
PJl. HR Soebrantas No. A9 Tua Karya Panam - Pekanbaru
Optical 0761-589394Optik Internasional Panam 2 PKB
PJl. T Tambusai (d/h Jl. Nangka) No. 363
Optical 0761-22226Optik Internasional Pekanbaru 3
PMall SKA Lantai 1 No 12 A Jl. Sukarno Hatta Pekanbaru
Optical 0761-864211Optik Internasional Pekanbaru 4 SKA
PJl. H Imam Munandar No 317 Pekanbaru
Optical 0761-8400177Optik Internasional Pekanbaru 7 Harapan Raya
State/Province: Sulawesi Barat
MamujuPSebelah Rumah Adat/ Polres Jl. KS.
Satsuitubun No 67 Mamuju Sulawesi Barat
Optical 0426-21468Optik Internasional Mamuju
State/Province: Sulawesi Selatan
MakassarPDiponegoro Optik Mall Karebosi Link
GFE 40 & E 41Optical 0411-Optik Diponegoro Mall Karebosi
PJl Veterab Selatan No.539Optical 0411-875578Optik Internasional Jl Veterab Selatan No.539
PJl Perintis Kemerdekaan Km. 9No 29 Komp. Ruko Antara
Optical 0411-423778Optik Internasional Komp. Ruko Antara
PJl. Boulevard Mall Panakukkang Lt. I Gedung B ic-d2-01
Optical 0411-4820402Optik Internasional Mall Panakukkang
PMTC Karebosi Lower Ground Floor Blok J :9, 10, 11
Optical 0411-350010Optik Internasional MTC Karebosi
PMTC Karebosi Ground Floor Blok O. 10
Optical 0411-350060Optik Internasional MTC Karebosi Ground Floor
PJl. Hasanudin No.24/288 Pertokoan Hasanudin
Optical 0411-330769Optik Internasional Pertokoan Hasanudin
PTiara Optik Mall Karebosi Link GFA 03 & A05
Optical 0411-Optik Internasional Tiara Mall Karebosi
PalopoPJl. Rambutan Blok E No. 06 (depan
KFC)Optical 0471-24569Optik Internasional Palopo
WatamponePJl. Besse Kajuara No. 2 BoneOptical 0481-21611Optik Internasional Bone
State/Province: Sulawesi Tengah
Released: 5 January 2015, 1:08:07PM Page 11 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
-
Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Sulawesi Tengah
LuwukPJl. MT. Haryono Shopping Mall Blok
Barat C7Optical 0461-23288Optik Internasional Luwuk
PaluPJl. Gajah Mada No. 123 Pertokoan
Gajah MadaOptical 0451-451302Optik Internasional Jl. Gajah Mada
No. 123 PaluPJl. Wolter Monginsidi No. 67Optical 0451-455124Optik Internasional Jl. Wolter
Monginsidi Palu
State/Province: Sulawesi Tenggara
Bau-BauPJl Yos Sudarso No 35Optical 0402-2821994Optik Internasional Bau bau
KendariPJl. Abdulah Silundah No. 121- BOptical 0401-325420Optik Internasional Kendari
KolakaPJl Pramuka No . 68 KolakaOptical 0405-2702769Optik Internasional Kolaka
State/Province: Sulawesi Utara
BitungPJl. Yos Sudarso No. 77 Bitung timur
Kotamadya BitungOptical 0438-31401Optik Internasional Bitung
KotamobaguPJl. AdamPe Dolot 193Optical 0434-22546Optik Internasional Kotamubago
ManadoPIT Center Kios A-8 GF Jl. Piere
Tendean BoulevardOptical 0431-867616Optik Internasional IT Center
P1) Jl. Sam Ratulangi No. 112-COptical 0431-850601Optik Internasional Jalan Sam Ratulangi
P2) Mega Mall Lt. Dasar Gf-16 Jl. Piere Tendean Boulevard
Optical 0431-879488Optik Internasional Mega Mall
PMega Mas Blok Smart I No. 1 dan 2 Jl. Piere Tendean
Optical 0431-8881114Optik Internasional Mega Mas
PMTC LGF No 6-20 H-19 Kawasan Mega MasJl Piere Tendean Boulevard MTC LGF No 6-20 H-19 Kawas
Optical 0431-8819392Optik Internasional MTC LGF
TomohonPJl. Raya No. 68 C (Depan MMM Plaza
)Optical 0431-354364Optik Internasional Tomohon
State/Province: Sumatera Barat
PadangPJl. Belakang Ulo No.65 BOptical 0751-30761Optik Internasional Padang
State/Province: Sumatera Selatan
LahatPJl. Mayor Ruslan 3 No 25 pasar lama
Lahat (depan masjid agung)Optical 0731- 323268Optik Internasional Lahat
Released: 5 January 2015, 1:08:07PM Page 12 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
-
Facility Name Type TelephoneAddress IP MCOptDCDBOMA
State/Province: Sumatera Selatan
LubuklinggauPJl. Yos Sudarso Depan PolresOptical 0733-322771Apotik Internasional Lubuk LinggauPJl. Panglima Sudirman No. 326Optical 0761-20375Optik Internasional Pekanbaru 1PJl. Jendral Sudirman No. 412 (Tanah
Datar)Optical 0761-26343Optik Internasional Pekanbaru 2
Pagar AlamPJl. Kombes Haji Umar No. 14 A Kota
Pagar AlamOptical 0730-623423Optik Internasional Pagar Alam
PalembangPJl. MP. Mangkunegoro no. 18 C
KentenOptical 0711-820361Optik Internasional Kenten
PPalembang Square Jl. POM IX/Jl. Angkatan 45 Lt.2; unit 123,125,152,153Palembang Square
Optical 0711-360600Optik Internasional Palembang Square
PPalembang Trade Center Jl. R. Sukamto (Komp.PTC); Lt. ground Floor No. 68, 69, 712) Palemban
Optical 0711-382095Optik Internasional Palembang Trade Center
PrabumulihPJl. Jendral Sudirman No 16Optical 0713-322338Optik Internasional Prabumulih
State/Province: Sumatera Utara
MedanPJl. M.T. Haryono Medan Mall Central
Pasar Blk 1H1-9,10Optical 061-4577408Optik Internasional Medan Mall
CentralPPlaza Medan fair Lt. 1 A1 No.87 Jl.
Jend. Gatot SobrotoOptical 061-4140636Optik Internasional Plaza Medan fair
State/Province: Yogyakarta
PAmbarukmo Plaza Ground Floor A-24 ; jl. LA. Sucipto
Optical 0274-4331155Optik Internasional Ambarukmo Plaza
PJalan Mataram no. 64Optical 0274-566934Optik Internasional Jalan MataramPMall Jogja Tronik Lt. Lg 14B/17 Jl.
Brigjen KatamsoOptical 0274-420166Apotik Internasional Mall Jogja
TronikPRuko Raflesia Babarsari Square I Jl.
Babarsari Raya Sleman JogjaOptical 0274-4469023Optik Internasional Ruko Raflesia
Babarsari Square
v
Released: 5 January 2015, 1:08:07PM Page 13 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]
-
Facility Name Type TelephoneAddress IP MCOptDCDBOMA
If you would like a Healthcare Provider added to our Network, please fax us at (021) 29634888 or email our team at [email protected].
We are always happy to add quality healthcare providers to our Network, especially where we do not have alternate providers available.
Experiencing a Problem? If you or your employees experience any problems in accessing services at any one of the Healthcare Providers included in our List, call your Customer Service Hotline immediately. The number is on the back of your Membership Card. If you call us while you are still at the hospital or clinic - we most likely can help you immediately.
You can also email us at [email protected] and we will investigate any concern you might have with one of our Network Providers. Remember, to help us in our discussions with the Healthcare Provider, we need to know the date, time, location and name of the Provider Staff who created the problem. Perhaps it is a new Receptionist at the Provider's Admissions Desk that needs training - the only way we can work together with our contracted Providers to ensure you are provided the best service, is to have as many details as we can from you about any problem you have in accessing service from our Network Providers. Don't forget to let us know about any concerns you might have with medical practices or treatments also.
For udpates to our Provider List or for information on our other services, please check our website www.medilum.com or check with your HR Department.
Released: 5 January 2015, 1:08:07PM Page 14 of 14
Network Listing - Optik Internasional
Maximizing Service, Minimizing RiskHealth Benefits Administration & Risk Management
PT. JLT GESAAntam Office Park Tower B, Jl. TB Simpatupang No. 1, Tanjung Barat, Jakarta Selatan 10340Telephone +62 21 29634800 Fax: +62 21 29634888 Email [email protected]