Donald L Quada, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NA Issued in MN

Practice address

2106 London Rd
Duluth, MN 55812-2127

Phone

(218) 522-4645

Fax

(218) 481-7811

NPI assigned

Jul 6, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Zen Eye Care PLLC

  • Optometrist
  • Duluth, MN
  • NPI 1922457183
  NPD

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720509136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-522-4645",
            "fax_number": "218-481-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-522-4645",
            "fax_number": "218-481-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADA",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477512697",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Pykkonen
• Samantha Greensky Pykkonen, CRNA
• Angela L Qson, RN, PHN, LSN
• Mary B Quaas, CRNA
• Maryanne Quackenbush, LICSW
• Justin Ray Quade, M.D.
• Brianna Quast, RN
• Lynn Elmo Quenemoen, MD
• Questar Duluth, Inc
• Brianna Rose Quinn

• Optician in Duluth, MN
• Providers in Duluth, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.