Provider Demographics
NPI:1083871438
Name:QUIGLEY-SIMPSON INC
Entity Type:Organization
Organization Name:QUIGLEY-SIMPSON INC
Other - Org Name:QUIGLEY-SIMPSON EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUIGLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:609-646-1113
Mailing Address - Street 1:1114 TILTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1230
Mailing Address - Country:US
Mailing Address - Phone:609-646-1113
Mailing Address - Fax:
Practice Address - Street 1:1114 TILTON RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1230
Practice Address - Country:US
Practice Address - Phone:609-646-1113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD1862332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier