Dr Michael McQuillan

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6508T Issued in CA

Legal business name

DR MICHAEL MCQUILLAN

Practice address

1200 Paseo Camarillo
Suite 180
Camarillo, CA 93010-6050

Phone

(805) 484-0577

Fax

(805) 987-6257

NPI assigned

Jul 20, 2006

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael McQuillan, O.D.NPI 1194707927

Title

Owner

Phone

(805) 484-0577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael McQuillan, O.D.

  • Optometrist
  • Camarillo, CA
  • NPI 1194707927
  Authorized official Same address or phone

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1336169234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "SUITE 180",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106085",
            "telephone_number": "805-484-0577",
            "fax_number": "805-987-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "SUITE 180",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106050",
            "telephone_number": "805-484-0577",
            "fax_number": "805-987-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL MCQUILLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MCQUILLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-484-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6508T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Kirsten Gabriel, Psychological Consultant, Inc (Threat Management Consultants)
• Sandor George Dresnin, M.D.
• Dorothy Du Graff, D.O.
• Lingyun Du

• Optometrist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Optometrist in California

• 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.