Kimberly Ann Parker, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

009726-01 Issued in NY

Practice address

146 Arsenal St Ste 8
Watertown, NY 13601-2576

Phone

(315) 786-0983

Fax

(315) 786-0994

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• United Cerebral Palsy Association of the North Country, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, NY
  • NPI 1467432765
  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1154912988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ARSENAL ST STE 8",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012576",
            "telephone_number": "315-786-0983",
            "fax_number": "315-786-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ARSENAL ST STE 8",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012576",
            "telephone_number": "315-786-0983",
            "fax_number": "315-786-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009726-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana E Paley, DO
• Shripad Brahmanand Pande, MD
• Aeklavya Panjali, DDS DDS
• Janet L. Parcell Mitchell, PT, DPT, ATC, CSCS
• Eunmi Park
• Stephanie Parks, PTA
• Tammy Jo Parks, LPN
• Parkview Noco RX, LLC
• Jana Parody, RN
• Elizabeth A Parris, MSW

• Optician in Watertown, NY
• Providers in Watertown, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.