Provider Demographics
NPI:1902648223
Name:QUINTON, DARREN ALEXANDER (OD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:ALEXANDER
Last Name:QUINTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1025 N BRAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3638
Mailing Address - Country:US
Mailing Address - Phone:818-583-9933
Mailing Address - Fax:818-583-9935
Practice Address - Street 1:1025 N BRAND BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3638
Practice Address - Country:US
Practice Address - Phone:818-583-9933
Practice Address - Fax:818-583-9935
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT35665-TLG152WC0802X, 152WL0500X, 152WP0200X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision