Quad Cities Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

QUAD CITIES EYE CARE, LLC

Practice address

4500 16TH St Ste 100
Moline, IL 61265-7068

Phone

(309) 764-0444

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Maxwell New, ODNPI 1649428970

Title

Optometrist/ Owner

Phone

(508) 423-6005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory M New, OD

  • Optometrist
  • Moline, IL
  • NPI 1649428970
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1679225270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BURR OAK DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 16TH ST STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657068",
            "telephone_number": "309-764-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "NEW",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "508-423-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Quad Cities Pathologists, LLC

• Optometrist in Moline, IL
• Providers in Moline, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.