RAUL QUINTANILLA (NPI# 1578791687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578791687 |
| Entity Type | Individual |
| Full Name | RAUL QUINTANILLA |
| Practice Address |
2777 Shaver St Pasadena TX 77502-4625 |
| Practice Telephone | 7139417112 |
| Practice Fax Number | 7139417112 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4593T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 019581001 | 05 |
| Street Address |
2777 SHAVER ST |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| 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 |
|---|---|---|---|---|
| 1124668926 | Nancy Banh | Optometrist | 600 Lincoln Ave Unit 93957, Pasadena, CA 91109-5784 | 2020-01-09 |
| 1619520152 | Texas Eye Heroes | Optometrist | 132 Southmore Ave Ste A, Pasadena, TX 77502-1018 | 2019-07-23 |
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1447766001 | Pasadena Eye Care, LLC | Optometrist | 33 Magothy Beach Rd Ste 104, Pasadena, MD 21122-4467 | 2017-12-19 |
| 1104331305 | Elizabeth Louise Wright | Optometrist | 2700 E Foothill Blvd Ste 207, Pasadena, CA 91107-7111 | 2017-12-10 |
| 1942652912 | Pooneh Vafaee | Optometrist | 1002 Southmore Ave, Pasadena, TX 77502-1202 | 2016-07-01 |
| 1457778912 | Faydim Rassamdana | Optometrist | 1250 Riviera Dr, Pasadena, CA 91107-1632 | 2014-03-23 |
| 1568766947 | Elda Mehrabyan | Optometrist | 155 Cordova St, Suite 168, Pasadena, CA 91105-2727 | 2010-12-29 |
| 1154570075 | Jumpers Mall Optics, Inc. | Optometrist | 8155 Ritchie Hwy, Pasadena, MD 21122-6931 | 2008-09-16 |
| Find all providers in PASADENA | ||||
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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.