Quachle LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

QUACHLE LLC

Practice address

15996 New Independence Parkway
Winter Garden, FL 34787

Phone

(407) 872-1200

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Cheek

Title

Patient Care Specialist

Phone

(407) 876-1200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• The Eye Place of Hamlin Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Nicole Blodgett Fernandez, O.D.

  • Optometrist
  • Winter Garden, FL
  • NPI 1508154873
  Medicare reassignment NPD
• Rachel Ann De la Riva Marcy, O.D.

  • Optometrist
  • Winter Springs, FL
  • NPI 1922392786
  Medicare reassignment NPD
• Nicholas T Le, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1790934529
  Medicare reassignment NPD
• Thuy-Tran N Quach, O.D.

  • Optometrist
  • Windermere, FL
  • NPI 1013103563
  Medicare reassignment NPD
• Jennifer Eleftheriou Owen, OPTOMETRIST OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1922070028

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1043706138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 OLD BRICK RD STE 120-313",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15996 NEW INDEPENDENCE PARKWAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-872-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUACHLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PATIENT CARE SPECIALIST",
        "authorized_official_telephone_number": "407-876-1200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922070028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013103563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790934529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Place of Hamlin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Place of Hamlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.