Individual
CRAIG JOHN QUINTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4338
(504) 371-9355
(985) 652-8371
Mailing address
7400 SPRINGLAKE DR, NEW ORLEANS, LA 70126-3049
(504) 957-1545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1569-601T
LA
152W00000X
Optometrist
Primary
1948-884AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07375720
—
MS
05
—
1814458
—
LA
Enumeration date
07/30/2008
Last updated
11/23/2021
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