Active NPI
Bill Dan Parker, O.D.
- Optometrist
- Muskogee, OK
National Provider Identifier
1194745463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1161
- Practice address
- 1157 N York St
Muskogee, OK 74403-2520 - Phone
- (918) 683-8404
- Fax
- (918) 687-4469
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1157 N York St
Muskogee, OK 74403-2520
Phone (918) 683-8404
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 137 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120606000020 | OK | Practitioner - Optometry | 9739392044 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billy D. Parker, O.D., P.C., Inc. | Optometrist | Current | Accepting new patients |
Locations
1157 N York St
Muskogee, OK 74403
Phone (918) 683-8404
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1161 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1157 N York St
Muskogee, OK 74403-2520
Mailing address
1157 N York St
Muskogee, OK 74403-2520
Phone (918) 683-8404
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100766150A | Medicaid | OK |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2017.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1194745463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 N YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744032520",
"telephone_number": "918-683-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 N YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744032520",
"telephone_number": "918-683-8404",
"fax_number": "918-687-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BILL",
"middle_name": "DAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100766150A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.