# QUINLAN EYE SURGERY & LASER CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629177316
- **Authorized official:** DR. GREGORY H QUINLAN D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (620) 223-0200

## Contact information

- **Practice address:** 918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
- **Practice address phone:** (620) 223-0200
- **Practice address fax:** (620) 224-3029
- **Mailing address:** 918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
- **Mailing address phone:** (620) 223-0200
- **Mailing address fax:** (620) 224-3029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S006001 | KS | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 12/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100408980A | — | KS |
| 05 | — | 505716803 | — | MO |