David Michael Quinlivan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5212T Issued in TX

Practice address

107 Wagon Wheel TRL
Georgetown, TX 78628-2404

Phone

(512) 863-4400

Fax

(512) 863-5261

NPI assigned

Jul 6, 2006

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

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Georgetown PLLCGroup PAC ID 4587931282, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Eye Associates of Georgetown, PLLC

  • Optometrist
  • Georgetown, TX
  • NPI 1043491228
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1891726642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WAGON WHEEL TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282404",
            "telephone_number": "512-863-4400",
            "fax_number": "512-863-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WAGON WHEEL TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282404",
            "telephone_number": "512-863-4400",
            "fax_number": "512-863-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLIVAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5212T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosana Cecilia Puentes Medina
• Johanna Puetz, L.A.T.
• Sharon L. Pulattie, LMFT, LCDC
• Sabrina Queen, ATC, LAT
• Natalie Marie Quesnel, PT, DPT
• Paige Elizabeth Quinlivan, O.D.
• Selena Dezirae Quintanilla
• R K Rodriguez DNP LLC
• R.O.C.K Ride on Center for Kids
• Alan L Rabideau, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.