Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
R Q OPTOMETRY
Active
Organization
R Q OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL QUINTANILLA OD (OPTOMETRIST OWNER)
(713) 941-7112
Entity
Organization
Contact information
Practice address
2777 SHAVER ST STE A, PASADENA, TX 77502-4625
(713) 941-7112
(713) 941-7112
Mailing address
2777 SHAVER ST STE A, PASADENA, TX 77502-4625
(713) 941-7112
(713) 941-7112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4593T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019581001
—
TX
Enumeration date
02/13/2007
Last updated
10/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up