Individual
STEVEN QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
203-205 SHAW AVENUE, HARRINGTON, DE 19952
(302) 398-8404
(302) 398-8818
Mailing address
203-205 SHAW AVENUE, HARRINGTON, DE 19952
(302) 398-8404
(302) 398-8818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001754
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000167403
—
DE
01
—
5969208
AETNA
DE
01
—
P00319699
RAILROAD MEDICARE
DE
01
—
U49096
BCBS DE
DE
Enumeration date
11/06/2006
Last updated
07/09/2007
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