David C Quinn

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000727 Issued in PA

Legal business name

DAVID C QUINN

Practice address

236 W Allegheny Rd
Imperial, PA 15126-9775

Phone

(724) 695-3371

Fax

(724) 695-3372

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Debby Morrison

Title

Office Manager

Phone

(724) 695-3371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALLEGHENY WEST EYE CARE Doing business as

Practitioners 1

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

• Brittany Nicole Bodo, OD

  • Optometrist
  • Imperial, PA
  • NPI 1881324002
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1053593897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269775",
            "telephone_number": "724-695-3371",
            "fax_number": "724-695-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269775",
            "telephone_number": "724-695-3371",
            "fax_number": "724-695-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C QUINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-695-3371"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011020320002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGHENY WEST EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aysia Bly
• Brittany Nicole Bodo, OD
• Courtney Buchna
• Jared Matthew Campbell, PHARM.D
• Community Support Advantage, LLC
• Doctor'S DME
• Elevate Psychological Services LLC
• Angel Fazio
• Sumana T. Gangadhar, DMD
• Sharon A Glover, OTR/L

• All providers in Imperial, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.