| Provider / Organization | NPI | Date Certified |
|---|---|---|
| QUINN GALLEN | 1619594470 | 2022-06-10 |
Quinn Gallen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619594470. Registration indicates Quinn Gallen is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist: Occupational Vision, ) (Optometrist Occupational Vision, Eye and Vision Services Providers) (Optometrist, )
| Entity Type | Individual |
| Provider Name | Quinn Gallen OD |
| Practice Office Address | 84 PROFESSIONAL PKWY TROY, MO US |
| Practice Office Telephone | 9018324090 |
| Mailing Address | PO BOX 207158 DALLAS, TX 753207158 US |
| Business Telephone | 6362004393 |
| Business Fax | 6365270766 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10840 Lincoln Trl | Fairview Heights, IL 622082098 | 6183978880 |
| 8821 LaDue Rd | Saint Louis, MO 631242045 | 3144507305 / 3144507306 |
| 8658 Big Bend Blvd | Webster Groves, MO 631193839 | 3149684243 / 3149683273 |
| 6415 Chippewa St | Saint Louis, MO 631092104 | 3144571880 / 3144578184 |
| 917 Olive St | Saint Louis, MO 631011418 | 3146215303 / 3146217011 |
| 11433 Olive Blvd | Creve Coeur, MO 631417108 | 3144321134 / 3144321135 |
| 9082 Overland Plz | Overland, MO 631146122 | 3142271132 / 3142271133 |
| 9540 Manchester Rd | Saint Louis, MO 631191313 | 3149623830 / 3149623909 |
| 14842 Manchester Rd | Ballwin, MO 630114620 | 6365572020 / 6365574020 |
| 32 4 Seasonsshop Ctr | Chesterfield, MO 630173103 | 3144693937 / 3145765751 |
| 3122 S Grand Blvd | Saint Louis, MO 631181012 | 3144507313 / 3144507314 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 2020015615
MO |
| 152W00000X | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 046.011449
IL |
| 152WX0102X | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist: Occupational Vision Optometrist Occupational Vision Eye and Vision Services Providers Optometrist | 2020015615
MO |