Provider Demographics
NPI:1841303146
Name:MCQUISTON, JAMES LEE (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:MCQUISTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8370 HARTRICK BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7500
Mailing Address - Country:US
Mailing Address - Phone:254-493-9715
Mailing Address - Fax:254-743-0128
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-0733
Practice Address - Fax:254-743-0128
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL06592152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist