DR. JASON MICHAEL KVITLE (NPI# 1356775720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356775720 |
| Entity Type | Individual |
| Full Name | DR. JASON MICHAEL KVITLE |
| Credential | O.D. |
| Practice Address |
3325 Maine St Suite 1 Quincy IL 62301-4438 |
| Mailing Address |
3325 Maine St Ste 1 Quincy IL 62301-4438 |
| Practice Telephone | 2172313937 |
| Practice Fax Number | 2172313940 |
| Mailing Telephone | 2172313937 |
| Mailing Fax Number | 2172313940 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010731 | IL | Eye and Vision Services Providers |
| Street Address |
3325 MAINE ST SUITE 1 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083095806 | Mary Bui Vo | Optometrist | 1219 Hancock St, Quincy, MA 02169-4342 | 2015-06-17 |
| 1164855698 | Phuong Thanh Nguyen | Optometrist | 212 Common St, Quincy, MA 02169-4709 | 2013-08-20 |
| 1053684027 | Sandra M. Payton Vision Care, Inc | Optometrist | 1147 Hancock St Ste E, Quincy, MA 02169-4330 | 2012-02-21 |
| 1760715999 | Anjali Pathak | Optometrist | 10 Faxon Ave, 114, Quincy, MA 02169-4682 | 2009-09-04 |
| 1265689863 | Bobak Rafati | Optometrist | 3131 Broadway, Quincy, IL 62301 | 2008-08-26 |
| 1831381045 | Comfort Vision Inc | Optometrist | 221 Quincy Ave Unit B, Quincy, MA 02169-6754 | 2007-08-11 |
| 1275731655 | Jonathan Charles Friden | Optometrist | 68 E Central Ave Ste C, Quincy, CA 95971-9718 | 2007-07-06 |
| 1922120781 | Usana Wu | Optometrist | 200 Cove Way, #504, Quincy, MA 02169-5882 | 2007-04-04 |
| 1730214552 | Dr Sheldon Strauss | Optometrist | 675 Hancock St, Quincy, MA 02170-2826 | 2007-02-22 |
| 1205970738 | Katherine F Coffey Od LLC | Optometrist | 104 Quarry St, Suite 3, Quincy, MA 02169-4174 | 2007-02-17 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.