Individual provider Active NPI

R. Douglas Quay, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1467547570
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-T008757 Issued in PA
Practice address
2030 W Tilghman St Ste 101
Allentown, PA 18104-4354
Phone
(610) 432-3258
Fax
(610) 289-2100
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-T008757 PA Primary

Addresses

Primary practice location

2030 W Tilghman St Ste 101
Allentown, PA 18104-4354

Mailing address

2030 W Tilghman St Ste 101
Allentown, PA 18104-4354
Phone (610) 432-3258

Other identifiers 5

IdentifierTypeStateIssuer
0003330OtherPAAETNA PIN#
51971OtherPADAVIS VISION
01395401OtherPABLUE CROSS
0201390001OtherPAMEDICARE DMERC
OE-T008757OtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110222000263 PA Practitioner - Optometry 3476624610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE-T008757PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
R. Douglas Quay, O.D. Optometrist PastSince May 28, 1993 Accepting new patients
R. Douglas Quay, O.D. Past Accepting new patients

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1467547570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W TILGHMAN ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044354",
            "telephone_number": "610-432-3258",
            "fax_number": "610-289-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W TILGHMAN ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044354",
            "telephone_number": "610-432-3258",
            "fax_number": "610-289-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAY",
        "first_name": "R. DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-T008757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "0003330",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01395401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0201390001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OE-T008757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.