MEDICARE: DR. RENAYE BARNES QUINTYNE 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	06387T	TX
2	152W00000X	Optometrist	3775	FL

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

General Provider Information

NPI Number	:	1962546242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENAYE BARNES QUINTYNE O.D.

Provider Business Mailing Address
First Line	:	1703 PALM BEACH LAKES BLVD UNIT B01
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2031
Country	:	US
Telephone Number	:	954-873-8649
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 PALM BEACH LAKES BLVD UNIT B01
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2031
Country	:	US
Telephone Number	:	561-615-5638
Fax Number	:	561-615-5639

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	01/09/2024

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