Martin William Parod, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD2391 Issued in TN

Practice address

455 Vista Dr
Sparta, TN 38583-1360

Phone

(931) 836-6433

Fax

(931) 836-2753

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1023090594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-836-6433",
            "fax_number": "931-836-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-836-6433",
            "fax_number": "931-836-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROD",
        "first_name": "MARTIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946561",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE #",
            "identifier": "OD2391",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca R O'Neill, DPT
• Kendra L Oliver
• Oxygen and Respiratory Care
• Brandy Parker, PHARM D
• James Phillip Parker, M.D.
• Lauren Parsley
• James Payne, MA LPC-MHSP TEMP
• Jennifer L Peek, OD
• Sarah Madison Petty
• Pharmacists Home Medical LLC

• Optometrist in Sparta, TN
• Providers in Sparta, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.