NPI 1598889891 · live from the CMS NPI Registry
Quint Di Giacomo, O.D.
Optometrist in Gallup, NM. National Provider Identifier 1598889891, active.
NPI record
| NPI | 1598889891 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 112 W Hill Ave, Gallup, NM 87301 |
| Practice phone | 505-722-2289 |
| Mailing address | 10025 E Dynamite Blvd Ste 115, Scottsdale, AZ 85262 |
| Enumerated | March 19, 2007 |
| Last updated | March 1, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OP2281 (NM) |
| Optometrist | 152W00000X | 01246 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.