Susan Lynne Parks

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H2672 Issued in TX

Practice address

5001 N. Piedras
El Paso, TX 79930

Phone

(915) 564-6116

Fax

(915) 564-7940

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Parks Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124031919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 BILL HILL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364601",
            "telephone_number": "915-564-6116",
            "fax_number": "915-564-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N. PIEDRAS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79930",
            "telephone_number": "915-564-6116",
            "fax_number": "915-564-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PARKS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia B. Park, LCSW
• Richard L. Park, PH.D., LCSW
• Robert M Parke, FNP-BC
• Biannica Parker, MBA-HM, BSN, RN
• Lauren Christine Parker, DPT
• Faviola Parra-Jaquez
• Adrianna F. Parra, PHARM.D.
• Alma Rosa Parra
• Diana Parra
• Gloria Celene Parra, LMSW

• Ophthalmology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.