Individual provider Active NPI

John Tyler Parmer, OD

  • Optometrist
  • Taylor, MI
National Provider Identifier
1083231740
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005454 Issued in MI
Practice address
22395 Eureka Rd
Taylor, MI 48180-6016
Phone
(734) 324-0996
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 4901005454 MI Primary

Addresses

Primary practice location

22395 Eureka Rd
Taylor, MI 48180-6016

Mailing address

855 S Main St Apt 211
Royal Oak, MI 48067-3278
Phone (517) 483-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230222002540 KY Practitioner - Optometry 6901229798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simpson Optical PLLCGroup PAC ID 6406847029, 10 clinicians

Practice addresses (Care Compare)

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Optical PLLC Optometrist CurrentSince Feb 20, 2023 Accepting new patients
P-Cor LLC Optometrist PastSince Feb 24, 2022 Accepting new patients
P-Cor, LLC Optometrist PastSince Dec 12, 2021 Accepting new patients
P-Cor, LLC Optometrist Past Accepting new patients

Locations

340 Meijer Way
Lexington, KY 40503
Phone (859) 278-0055

4101 Tates Creek Centre Dr
Ste 142
Lexington, KY 40517
Phone (859) 245-3332

989 Governors Ln
Ste 180
Lexington, KY 40513
Phone (859) 358-2830

Interoperability endpoints

  • Direct secure messaging: jparmer676029@direct.hfhs.org

Organizations & group practices 4

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1083231740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST APT 211",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673278",
            "telephone_number": "517-483-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22395 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806016",
            "telephone_number": "734-324-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "JOHN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.