MEDICARE: DR. MICHELE ANN QUINTERO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6615TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	81432Q	OTHER	TX	BLUE CROSS & BLUE SHEILD NUMBER
3	06615TG	OTHER	TX	OPTOMETRY LICENSE

General Provider Information

NPI Number	:	1073595849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE ANN QUINTERO O.D.

Provider Business Mailing Address
First Line	:	9344 JONES RD
Second Line	:	SUITE H
City	:	HOUSTON
State	:	TX
Zip	:	77065-5361
Country	:	US
Telephone Number	:	281-897-0005
Fax Number	:	281-897-0008

Provider Business Practice Location Address
First Line	:	9344 JONES RD
Second Line	:	SUITE H
City	:	HOUSTON
State	:	TX
Zip	:	77065-5361
Country	:	US
Telephone Number	:	281-897-0005
Fax Number	:	281-897-0008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	09/16/2025

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