Individual provider Active NPI

Thuy-Tran N Quach, O.D.

  • Optometrist
  • Windermere, FL
National Provider Identifier
1013103563
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3610 Issued in FL
Practice address
7828 Winter Garden Vineland Rd
Suite 128
Windermere, FL 34786-5933
Phone
(407) 876-1200
Fax
(407) 614-8923
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3610 FL Primary

Addresses

Primary practice location

7828 Winter Garden Vineland Rd
Suite 128
Windermere, FL 34786-5933

Mailing address

8815 Conroy Windermere Rd
#353
Orlando, FL 32835-3129
Phone (407) 876-1200

Other names 1

  • Thuy N Quach Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000232 FL Practitioner - Optometry 7214022003 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3610FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quachle LLC Optometrist CurrentSince Mar 20, 2018 Accepting new patients
Thuy Tran Quach O D P a Optometrist CurrentSince Jan 15, 2010 Accepting new patients
Eric Perez, O.D., P.a. Optometrist Past Accepting new patients

Locations

7828 Winter Garden Vineland Rd
Ste 128
Windermere, FL 34786
Phone (407) 614-8796

15996 New Independence Pkwy
Ste 100
Winter Garden, FL 34787
Phone (407) 877-0008

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1013103563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CONROY WINDERMERE RD",
            "address_2": "#353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353129",
            "telephone_number": "407-876-1200",
            "fax_number": "407-614-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 128",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865933",
            "telephone_number": "407-876-1200",
            "fax_number": "407-614-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "THUY-TRAN",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUY",
            "last_name": "QUACH",
            "middle_name": "N",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.