Individual provider Active NPI

Javier G Quintero-Chica, OD

  • Optometrist
  • Rhinebeck, NY
National Provider Identifier
1114941077
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005366-1 Issued in NY
Practice address
19 E Market St
Rhinebeck, NY 12572-1639
Phone
(845) 876-2433
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005366-1 NY Primary

Addresses

Primary practice location

19 E Market St
Rhinebeck, NY 12572-1639

Mailing address

19 E Market St
Rhinebeck, NY 12572-1639
Phone (845) 876-2433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101027000945 NY Practitioner - Optometry 9537353115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Garden St
Rhinebeck, NY 12572-1357
Phone (845) 876-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T005366-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Q Holdings LLC Optometrist CurrentSince Jul 1, 2010 Accepting new patients

Locations

19 E Market St
Rhinebeck, NY 12572
Phone (845) 876-2433

12 Garden St
Rhinebeck, NY 12572
Phone (845) 876-2433

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1114941077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721639",
            "telephone_number": "845-876-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721639",
            "telephone_number": "845-876-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO-CHICA",
        "first_name": "JAVIER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005366-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.