Provider Demographics
NPI:1952482465
Name:QUICK, LOUISE (OD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:
Last Name:QUICK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2207
Mailing Address - Country:US
Mailing Address - Phone:310-792-2020
Mailing Address - Fax:310-792-2021
Practice Address - Street 1:4505 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2207
Practice Address - Country:US
Practice Address - Phone:310-792-2020
Practice Address - Fax:310-792-2021
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8987T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0089870Medicaid
CASD0089870Medicaid
CA3939680001Medicare NSC
CAWOP8987AMedicare ID - Type Unspecified