Individual provider Active NPI

Ronald Kevin Quinn, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1508806068
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2837 Issued in FL
Practice address
817 NW 56TH Ter
Suite B
Gainesville, FL 32605-6418
Phone
(352) 331-7771
Fax
(352) 331-4302
NPI assigned
Jun 6, 2006
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2837 FL Primary

Addresses

Primary practice location

817 NW 56TH Ter
Suite B
Gainesville, FL 32605-6418

Mailing address

PO Box 142045
Gainesville, FL 32614-2045
Phone (352) 331-8672

Other identifiers 1

IdentifierTypeStateIssuer
620585200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060724000139 FL Practitioner - Optometry 4082627823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

832 NW 57TH St
Gainesville, FL 32605-6415
Phone (352) 331-7771

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2837FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince May 5, 2023 Accepting new patients
R Kevin Quinn O.D., P.a. Optometrist CurrentSince May 15, 2006 Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients
Lange Eye Care & Associates PA Optometrist Past Accepting new patients

Locations

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

832 NW 57th St
Gainesville, FL 32605
Phone (352) 331-6661

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1508806068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142045",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326142045",
            "telephone_number": "352-331-8672",
            "fax_number": "352-331-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056418",
            "telephone_number": "352-331-7771",
            "fax_number": "352-331-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "RONALD",
        "middle_name": "KEVIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620585200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.