Joseph James Nordquist, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007115 Issued in IL

Practice address

2501 24TH St
Rock Island, IL 61201-5300

Phone

(309) 788-0604

Fax

(309) 788-0611

NPI assigned

Aug 29, 2005

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: drnordquist@direct.revolutionehr.com

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1790778454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015300",
            "telephone_number": "309-788-0604",
            "fax_number": "309-788-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015300",
            "telephone_number": "309-788-0604",
            "fax_number": "309-788-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quang Tung Nguyen, M.D.
• Megan Elizabeth Niemiller
• Carlyn L Nischeir, BS
• Michael J. Nonnenmann, D.D.S.,M.S.,LTD.
• Kaylee Nordholm
• Donald A Normoyle, MD
• Chase Norris
• Jenna Norton
• Meagan K Norton
• Jamie Lynne Nowlin, BA

• Optometrist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.