Healthcare Provider Details
I. General information
NPI: 1629906243
Provider Name (Legal Business Name): TAYLOR STIMSON QUINN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1655 W MARKET ST STE 110
AKRON OH
44313-7030
US
IV. Provider business mailing address
1655 W MARKET ST STE 110
AKRON OH
44313-7030
US
V. Phone/Fax
- Phone: 330-867-1104
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | OPT.007502 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: