Billy D. Parker, O.D., P.C., Inc.
Organization Active NPI Optometrist · Muskogee, OK
NPI 1205004751 · NPPES record last updated May 29, 2012
Key facts
- NPI
- 1205004751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1161 (OK)
- Legal business name
- BILLY D. PARKER, O.D., P.C., INC.
- Practice address
- 1157 N York St
Muskogee, OK 74403-2520 - Phone
- (918) 683-8404
- Fax
- (918) 687-4469
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Billy D Parker, O.D.
- Title
- President
- Phone
- (918) 683-8404
Practitioners 1
-
Bill Dan Parker, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120530000219 | OK | Part B Supplier - Clinic/Group Practice | 2365569753 |
Receives reassigned benefits from 1 practitioner Practice locations: Muskogee, OK |
National Provider Directory
Locations
1157 N York St
Muskogee, OK 74403
Phone (918) 683-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1161 | OK | Yes |
Addresses
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200088010A | Medicaid | OK |
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.