# CRAIG JOHN QUINTAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649436551
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1569-601T | LA | — |
| 152W00000X | Optometrist | 1948-884AT | LA | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 11/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07375720 | — | MS |
| 05 | — | 1814458 | — | LA |