Individual provider Active NPI

Bill Dan Parker, O.D.

  • Optometrist
  • Muskogee, OK
National Provider Identifier
1194745463
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1161 Issued in OK
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

ProcedureNumber of procedures
Cataract surgery137

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000020 OK Practitioner - Optometry 9739392044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Billy D. Parker, O.D., P.C., Inc. Optometrist CurrentSince Apr 16, 2003 Accepting new patients

Locations

1157 N York St
Muskogee, OK 74403
Phone (918) 683-8404

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1161 OK Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100766150AMedicaidOK

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

Verify at the official NPI Registry.