Individual
HENRY G MCQUIRTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Mailing address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
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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