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
—
—
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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