Organization Active NPI

Daniel R. Quinlan O D

  • Optometrist
  • Paducah, KY
National Provider Identifier
1487887428
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
913DT Issued in KY
Legal business name
DANIEL R. QUINLAN O D
Practice address
609 Broadway St
Paducah, KY 42001-6869
Phone
(270) 443-3202
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Daniel R Quinlan
Title
Owner
Phone
(270) 443-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 913DT KY Primary

Addresses

Primary practice location

609 Broadway St
Paducah, KY 42001-6869

Mailing address

609 Broadway St
Paducah, KY 42001-6869
Phone (270) 443-3202

National Provider Directory

National Provider Directory

Locations

609 Broadway St
Paducah, KY 42001
Phone (270) 443-3202

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1487887428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016869",
            "telephone_number": "270-443-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016869",
            "telephone_number": "270-443-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. QUINLAN O D",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-443-3202",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "913DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.