Provider Demographics
NPI:1730211616
Name:QUIRAND, ERWIN A (OD)
Entity type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:A
Last Name:QUIRAND
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 1:2020 CHAPMAN HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1964
Mailing Address - Country:US
Mailing Address - Phone:865-573-2443
Mailing Address - Fax:865-573-3703
Practice Address - Street 1:2020 CHAPMAN HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1964
Practice Address - Country:US
Practice Address - Phone:865-573-2443
Practice Address - Fax:865-573-3703
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT961152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN60122OtherBLUE CROSS BLUE SHIELD
TNT61290Medicare UPIN