Provider Demographics
NPI:1417249350
Name:Q HOLDINGS LLC
Entity Type:Organization
Organization Name:Q HOLDINGS LLC
Other - Org Name:Q OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:G
Authorized Official - Last Name:QUINERO-CHICA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-876-2433
Mailing Address - Street 1:12 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1357
Mailing Address - Country:US
Mailing Address - Phone:845-876-2433
Mailing Address - Fax:
Practice Address - Street 1:12 GARDEN ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1357
Practice Address - Country:US
Practice Address - Phone:845-876-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT005366-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U40841Medicare UPIN