Healthcare Provider Details

I. General information

NPI: 1174608632
Provider Name (Legal Business Name): HARRINGTON EYE CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 SHAW AVE
HARRINGTON DE
19952-1220
US

IV. Provider business mailing address

203 SHAW AVE
HARRINGTON DE
19952-1220
US

V. Phone/Fax

Practice location:
  • Phone: 302-398-8404
  • Fax: 302-398-8990
Mailing address:
  • Phone: 302-398-8404
  • Fax: 302-398-8990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN QUILLIN
Title or Position: PHYSICIAN
Credential: OD
Phone: 302-398-8404