Individual provider Active NPI

David Eugene Parrish, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1053592543
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1609 Issued in FL
Practice address
3301 4TH St N
St Petersburg, FL 33704-1305
Phone
(727) 821-9331
Fax
(727) 823-1487
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1609 FL Primary

Addresses

Primary practice location

3301 4TH St N
St Petersburg, FL 33704-1305

Mailing address

3301 4TH St N
St Petersburg, FL 33704-1305
Phone (727) 821-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1609FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Cataract & Laser Center LLC Optometrist PastSince Feb 1, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1053592543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041305",
            "telephone_number": "727-821-9331",
            "fax_number": "727-823-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041305",
            "telephone_number": "727-821-9331",
            "fax_number": "727-823-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.