Provider Demographics
NPI:1710234455
Name:PITTSBURG CATARACT CENTER PA
Entity Type:Organization
Organization Name:PITTSBURG CATARACT CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:H
Authorized Official - Last Name:QUINLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:620-223-0200
Mailing Address - Street 1:916 HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-8885
Mailing Address - Country:US
Mailing Address - Phone:620-223-0200
Mailing Address - Fax:620-224-3029
Practice Address - Street 1:1602 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-3022
Practice Address - Country:US
Practice Address - Phone:620-308-6882
Practice Address - Fax:620-232-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical