Quick Vision, LLC
Organization Active NPI Optometrist · Vincennes, IN
NPI 1144577941 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1144577941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003650A (IN)
- Legal business name
- QUICK VISION, LLC
- Practice address
- 1813 Willow St Ste 2a
Vincennes, IN 47591 - Phone
- (812) 255-0559
- Fax
- (812) 316-0020
- NPI assigned
- Aug 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Jericho Lynn Quick, O.D.
- Title
- Owner
- Phone
- (812) 255-0559
Practitioners 2
-
Jericho Lynn Quick, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Quick Vision |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171030001581 | IN | Part B Supplier - Clinic/Group Practice | 7517190960 |
Receives reassigned benefits from 2 practitioners Practice locations: Vincennes, IN |
| O20190415002134 | IN | DME Supplier - Physician - Optometrist | 7517190960 | Practice locations: Vincennes, IN |
National Provider Directory
Locations
1813 Willow St
Ste 2A
Vincennes, IN 47591
Phone (812) 255-0559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18003650A | IN | Yes |
Addresses
Primary practice location
1813 Willow St Ste 2a
Vincennes, IN 47591
Mailing address
1813 Willow St Ste 2a
Vincennes, IN 47591-4276
Phone (812) 255-0559
Other practice location 1
120 Main St
Vincennes, IN 47591-1234
Phone (812) 255-3003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201008910A | Medicaid | IN |
Other names
- Jericho L. Quick, O.D.
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.