Raul Quintanilla

Primary specialty

OptometristTaxonomy code 152W00000X

License

4593T Issued in TX

Practice address

2777 Shaver St
Pasadena, TX 77502-4625

Phone

(713) 941-7112

Fax

(713) 941-7112

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• R Q Optometry

  • Optometrist
  • Pasadena, TX
  • NPI 1902948383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1578791687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775024625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775024625",
            "telephone_number": "713-941-7112",
            "fax_number": "713-941-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "RAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4593T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019581001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jane Qualls, PA-C
• Quantum Pathology Labs, Inc
• Eleanor Paraguya Queja, M.D.
• Vincent Raymont Quinney, OTR
• Adriana J Quintana, CRNA
• Devin Adam Quiroz, MD
• Mohammed Ali Quraishi, M.D.
• R Q Optometry
• Raber Corporation
• Mithun Raju, PT

• Optometrist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.