Individual provider Active NPI

Susan Arminda Quinton, OD

  • Optometrist
  • Ft Oglethorpe, GA
National Provider Identifier
1659130417
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1404 Issued in GA
Practice address
1895 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4021
Phone
(706) 861-7166
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1404 GA Primary

Addresses

Primary practice location

1895 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4021

Mailing address

222 S Mission Ridge Dr
Rossville, GA 30741-2404
Phone (423) 619-9818

Other practice location 1

222 S Mission Ridge Dr
Rossville, GA 30741-2404
Phone (423) 619-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1404GAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1659130417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MISSION RIDGE DR",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307412404",
            "telephone_number": "423-619-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424021",
            "telephone_number": "706-861-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Mission Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Rossville",
            "state": "GA",
            "postal_code": "307412404",
            "country_code": "US",
            "telephone_number": "423-619-9818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "SUSAN",
        "middle_name": "ARMINDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.