Provider Demographics
NPI:1043079924
Name:QUACH, DENNY AU (OD)
Entity type:Individual
Prefix:DR
First Name:DENNY
Middle Name:AU
Last Name:QUACH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5216 ELRINGTON VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-8208
Mailing Address - Country:US
Mailing Address - Phone:985-232-3008
Mailing Address - Fax:
Practice Address - Street 1:5216 ELRINGTON VALLEY LN
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-8208
Practice Address - Country:US
Practice Address - Phone:985-232-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11084152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist