Mimi L. Parma, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00567900 Issued in NJ

Practice address

84 E Broad St
Hopewell, NJ 08525-1820

Phone

(609) 466-0055

Fax

(609) 466-3329

NPI assigned

May 23, 2007

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

Other names 1

• Dr. Mimi M. Lee Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1205046943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 E. BROAD STREET",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085251820",
            "telephone_number": "609-466-0055",
            "fax_number": "609-466-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E BROAD ST",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085251820",
            "telephone_number": "609-466-0055",
            "fax_number": "609-466-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMA",
        "first_name": "MIMI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00567900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "LEE",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PH.D., O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Optometrist in Hopewell, NJ
• Providers in Hopewell, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.