Quick, Jericho Lynn
Quick, Jericho Lynn is an sole proprietor health care provider with primary practice located at 1813 Willow St Ste 2A , Vincennes IN 47591. She recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Quick, Jericho Lynn can be contacted via phone (812) 255-0559.Contact Information
Primary practice address
1813 Willow St Ste 2A
Vincennes IN 47591
Phone: (812) 255-0559
Fax: (812) 316-0020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 18003650A | Indiana |
Eye and Vision Services Providers / Optometrist | 152W00000X | 18003650A | Indiana |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18003650A | Indiana |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 18003650A | Indiana |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 18003650A | Indiana |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 18003650A | Indiana |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 18003650A | Indiana |
Profile Details
NPI number | 1396057089 |
---|---|
LBN Legal business name | Quick, Jericho Lynn |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 9th, 2010 |
Last updated | Jun 27th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396057089 | NPPES |
Indiana | MEDICAID | 201008910A |
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