JACQUELINE ILIANA QUIROS (NPI# 1548377351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548377351 |
| Entity Type | Individual |
| Full Name | JACQUELINE ILIANA QUIROS |
| Credential | O.D. |
| Practice Address |
120 Plant Ave Hauppauge NY 11788-3805 |
| Mailing Address |
122 Makamah Rd Northport NY 11768-1337 |
| Practice Telephone | 6312731300 |
| Practice Fax Number | 6312734342 |
| Mailing Telephone | 6317546017 |
| Mailing Fax Number | 6312734342 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 004491-1 | NY | Eye and Vision Services Providers |
| Street Address |
120 PLANT AVE |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041447 | Barbara Ann Shultz | Psychologist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2006-08-17 |
| 1700331691 | Long Island Select Healthcare, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2016-08-20 |
| 1093028466 | Kirk Osterman | Physical Therapy Assistant | 120 Plant Ave, Family Wellness Center, Hauppauge, NY 11788-3804 | 2010-07-14 |
| 1386886232 | Family Residences & Essential Enterprises, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3804 | 2009-03-24 |
| 1841435856 | Thomas Carmine Debello Jr. | Social Worker | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2008-12-04 |
| 1801076724 | Gary S Seiden | Dentist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-11-08 |
| 1407063621 | Jazmin Yannetin Garcia | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-05-17 |
| 1457575201 | Ramak Bakhshoudeh | Physical Therapist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-04-12 |
| 1326170689 | Satwatie Antis | Nurse Practitioner | 120 Plant Ave, Hauppauge, NY 11788 | 2007-03-12 |
| 1871623173 | Sandra Guillen | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| 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 |
|---|---|---|---|---|
| 1275688566 | Martin Joel Robertso | Optometrist | 555 Route 111, Hauppauge, NY 11788-4359 | 2007-01-24 |
| 1023076551 | Dina Marie Castagnino | Optometrist | 536 Rte 111 Comp Usa Shopping Ctr, Davis Vision, Hauppauge, NY 11788 | 2006-05-03 |
| 1154309177 | Steven B Ressel | Optometrist | 536 Route 111, Hauppauge, NY 11788-4346 | 2006-01-09 |
| 1235659988 | Erica Jean Shuder | Optometrist | 536 Route 111, Hauppauge, NY 11788-4346 | 2017-06-23 |
| 1245403609 | Hauppauge Vision Inc. | Optometrist | 555 Route 111, Hauppauge, Hauppauge, NY 11788-4359 | 2008-04-08 |
| 1063581924 | Jennifer Zhenying Yang | Optometrist | 536 Route 111, Comp Usa Shopping Center, Hauppauge, NY 11788 | 2006-11-07 |
| 1902860653 | Priti Mehra | Optometrist | 536 Route 111, Davis Vision Comp Usa Shopping Center, Hauppauge, NY 11788 | 2006-04-12 |
| 1245293646 | Joanne M Sciacca | Optometrist | 536 Route 111, Davis Vision Compusa Shopping Center, Hauppauge, NY 11788 | 2006-04-08 |
| 1972566370 | Marla Glick | Optometrist | 536 Route 111, Hauppauge, NY 11788-4346 | 2006-04-08 |
| 1699738005 | Empire Vision Center Inc | Optometrist | 536 Route 111, Compusa Shopping Center, Hauppauge, NY 11788-4346 | 2006-04-07 |
| Find all providers in HAUPPAUGE | ||||
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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.