| Quachle Llc | |
|
15996 New Independence Parkway, Winter Garden, FL 34787 | |
| (407) 872-1200 | |
| Not Available |
| Full Name | Quachle Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15996 New Independence Parkway, Winter Garden, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043706138 | NPI | - | NPPES |
| 1922070028 | Other | INDIVIDUAL NPI | |
| 1013103563 | Other | INDIVIDUAL NPI | |
| 1790934529 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Thuy -tran N Quach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013103563 PECOS PAC ID: 7214022003 Enrollment ID: I20090406000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Quachle Llc 6526 Old Brick Rd Ste 120-313, Windermere, FL 34786-5839 Ph: () - | Quachle Llc 15996 New Independence Parkway, Winter Garden, FL 34787 Ph: (407) 872-1200 |
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