Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brendan Qualls

Individual provider Optometrist · NPI 1316729569

Brendan Qualls is an Optometrist in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

9596 Base Line Rd
Rancho Cucamonga, CA 91701-5034
Phone: (909) 787-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 36187 (CA)

Record details

NPI number1316729569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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