Individual provider Active NPI

Robin E Parnell, OD

  • Optometrist
  • South Point, OH
National Provider Identifier
1063700102
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6012 Issued in OH
Practice address
214 Collins Ave Ste C
South Point, OH 45680-8501
Phone
(740) 377-8989
NPI assigned
Jul 11, 2011
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6012 OH Primary

Addresses

Primary practice location

214 Collins Ave Ste C
South Point, OH 45680-8501

Mailing address

214 Collins Ave Ste C
South Point, OH 45680-8501
Phone (740) 377-8989

Other practice location 1

9424 State Route 14
Streetsboro, OH 44241
Phone (330) 422-1111

Other identifiers 1

IdentifierTypeStateIssuer
0052388MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20111026000513 OH Practitioner - Optometry 5496928079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Parnell Family Eye Care LLCGroup PAC ID 9032523444, 2 clinicians

Practice addresses (Care Compare)

214 Collins Ave
Suite C
South Point, OH 45680-8501
Phone (740) 377-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6012OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Optometrist Current Accepting new patients
Parnell Family Eye Care LLC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist PastSince Nov 11, 2017 Accepting new patients

Locations

214 Collins Ave
Ste C
South Point, OH 45680
Phone (740) 377-8989

Interoperability endpoints

  • Direct secure messaging: robin.parnell@uprisedirect.com

Organizations & group practices 3

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1063700102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLLINS AVE STE C",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808501",
            "telephone_number": "740-377-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLINS AVE STE C",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808501",
            "telephone_number": "740-377-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9424 State Route 14",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "44241",
            "country_code": "US",
            "telephone_number": "330-422-1111",
            "fax_number": "330-422-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "ROBIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.