Provider Demographics
NPI:1376556233
Name:QUICK, DEBRA A (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:A
Last Name:QUICK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:10243 GENETIC CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-6310
Mailing Address - Country:US
Mailing Address - Phone:858-526-6072
Mailing Address - Fax:858-526-6071
Practice Address - Street 1:10243 GENETIC CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-6310
Practice Address - Country:US
Practice Address - Phone:858-526-6072
Practice Address - Fax:858-526-6071
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT8309207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT8309Medicaid
CAU29604Medicare UPIN
CAOPT8309Medicaid