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Organization
QUACHLE LLC
Active
Organization
QUACHLE LLC
Active
Other names
The Eye Place of Hamlin
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CHEEK (PATIENT CARE SPECIALIST)
(407) 876-1200
Entity
Organization
Contact information
Practice address
15996 NEW INDEPENDENCE PARKWAY, WINTER GARDEN, FL 34787
(407) 872-1200
Mailing address
6526 OLD BRICK RD STE 120-313, WINDERMERE, FL 34786-5839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013103563
INDIVIDUAL NPI
—
01
—
1790934529
INDIVIDUAL NPI
—
01
—
1922070028
INDIVIDUAL NPI
—
Enumeration date
07/02/2018
Last updated
07/02/2018
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