Individual
DR. JERICHO LYNN QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1813 WILLOW ST STE 2A, VINCENNES, IN 47591
(812) 255-0559
(812) 316-0020
Mailing address
121 E NIBLACK RD, VINCENNES, IN 47591-5401
(812) 255-0559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003650A
IN
152WC0802X
Corneal and Contact Management Optometrist
18003650A
IN
152WL0500X
Low Vision Rehabilitation Optometrist
18003650A
IN
152WP0200X
Pediatric Optometrist
18003650A
IN
152WS0006X
Sports Vision Optometrist
18003650A
IN
152WV0400X
Vision Therapy Optometrist
18003650A
IN
152WX0102X
Occupational Vision Optometrist
18003650A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201008910A
—
IN
Enumeration date
07/09/2010
Last updated
06/27/2018
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