Individual
HENRY G MCQUIRTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000893
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087053
—
MS
01
—
200683
WELLCARE
TN
05
—
3595398
—
TN
01
—
4111863
BCBS
—
01
—
5099554
AETNA
—
01
—
925130
BLOCK VISION
—
01
—
P00279229
RR MEDICARE
TN
Enumeration date
06/08/2006
Last updated
04/01/2021
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