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NPI Code Detail

MEDICARE: MICHELLE QUACH OD

MEDICARE:   MICHELLE  QUACH  OD
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
1152W00000XOptometrist5690FL

General Provider Information

NPI Number : 1750940003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE QUACH OD
Provider Business Mailing Address
First Line : 12538 CANDLEBERRY CIR
Second Line :
City : TAMPA
State : FL
Zip : 33635-9109
Country : US
Telephone Number : 813-326-5711
Fax Number :
Provider Business Practice Location Address
First Line : 1720 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-8234
Country : US
Telephone Number : 813-279-1185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 04/08/2025

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Directions to “ MICHELLE QUACH OD” Practice Location

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