Active NPI
Harold Brent Parker, O.D.
- Optometrist
- Richfield, UT
National Provider Identifier
1063526432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4740887-9934
- Practice address
- 120 E 200 N
Richfield, UT 84701-2144 - Phone
- (435) 896-2020
- Fax
- (435) 893-2174
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4740887-9934 | UT | Primary |
| Optometrist | 152W00000X | 4740887-8904 | UT |
Addresses
Primary practice location
120 E 200 N
Richfield, UT 84701-2144
Mailing address
120 E 200 N
Richfield, UT 84701-2144
Phone (435) 896-2020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4740887-8904 | UT | MD | Optometrist |
| 4740887-9934 | UT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1063526432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E 200 N",
"city": "RICHFIELD",
"state": "UT",
"postal_code": "847012144",
"telephone_number": "435-896-2020",
"fax_number": "435-893-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 200 N",
"city": "RICHFIELD",
"state": "UT",
"postal_code": "847012144",
"telephone_number": "435-896-2020",
"fax_number": "435-893-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "HAROLD",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4740887-9934",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4740887-8904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.