JUAN QU (NPI# 1104206861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104206861 |
| Entity Type | Individual |
| Full Name | JUAN QU |
| Credential | O.D. |
| Practice Address |
1250 Hancock St Quincy MA 02169 |
| Mailing Address |
1250 Hancock St Quincy MA 02169-4339 |
| Practice Telephone | 6177740780 |
| Mailing Telephone | 6177740780 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5086 | MA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Grossman Dr, Braintree, MA 021844997 | 7818492295 |
| Street Address |
1250 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| 1407135577 | Molly L Barrett | Dentist | 1250 Hancock St, Suite 123, Quincy, MA 02169-4339 | 2011-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
| 1356775720 | Jason Michael Kvitle | Optometrist | 3325 Maine St, Suite 1, Quincy, IL 62301-4438 | 2013-08-21 |
| 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 |
| 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.