Organization Name: | R. DOUGLAS QUAY, O.D. |
NPI Number: | 1225206725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | R DOUGLAS QUAY (OWNER) |
Mailing Address: | 2030 W Tilghman St Allentown |
State: | PA US |
Postal Code: | 181044354 |
Phone Number: | 6104323258 |
Fax Number: | 6102892100 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OE-T008757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |