Kevin Quang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4845 Issued in MA

Practice address

591 Lincoln St
Worcester, MA 01605-1932

Phone

(508) 853-2020

NPI assigned

Jul 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• My Quang Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leominster Family Eyecare PLLCGroup PAC ID 4587996632, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Leominster Family Eyecare PLLC

  • Optometrist
  • Leominster, MA
  • NPI 1891342457
  Medicare reassignment Care Compare group NPD Authorized official
• Arinella Williams LLC

  • Ophthalmology Physician
  • Worcester, MA
  • NPI 1346437688
  Medicare reassignment

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1356655898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 LINCOLNST.",
            "address_2": "ARINELLAWILLIAMS LLC",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051932",
            "telephone_number": "508-853-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051932",
            "telephone_number": "508-853-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANG",
        "first_name": "KEVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088624A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISC BOARD OF OPTOMETRY",
            "identifier": "4845",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MY",
            "last_name": "QUANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quality Over Quantity Care LLC
• Quality Pharmacy Corp
• Quality Pharmacy Corp
• Qualityhealth Pharmacy, LLC
• Helen Mondez Qualls
• Alissa Marie Quaratiello
• Ryan H. Quarles, M.D.
• Nicholas T Quarshie, MD
• Richard Quarshie Jr.
• Rosetta Quarshie

• Optometrist in Worcester, MA
• Providers in Worcester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.