Active NPI
David Wilkin Parke III, MD
- Ophthalmology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 56678
- Practice address
- 7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800 - Phone
- (952) 929-1131
- Fax
- (952) 897-1178
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25653 | OK | |
| Ophthalmology Physician | 207W00000X | TRN12604 | FL | |
| Ophthalmology Physician | 207W00000X | ME109699 | FL | |
| Ophthalmology Physician | 207W00000X | 56678 | MN | Primary |
Addresses
Primary practice location
7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Mailing address
7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Phone (952) 929-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130819000257 | MN | Practitioner - Ophthalmology | 9537330006 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitreoretinal Surgery PLLC
Practice addresses (Care Compare)
3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25653 | OK | MD | Internal Medicine Physician |
| TRN12604 | FL | MD | Ophthalmology Physician |
| 56678 | MN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal Surgery PLLC | Ophthalmology | Current | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104
3601 W 76th St
Fl 3
Edina, MN 55435
99 Navaho Ave
Ste 100
Mankato, MN 56001
Phone (507) 385-1311
2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292
7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175
3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175
4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353
6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002
7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1265638746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 FRANCE AVE S",
"address_2": "SUITE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355800",
"telephone_number": "952-929-1131",
"fax_number": "952-897-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 FRANCE AVE S",
"address_2": "SUITE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355800",
"telephone_number": "952-929-1131",
"fax_number": "952-897-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKE",
"first_name": "DAVID",
"middle_name": "WILKIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "25653",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "TRN12604",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME109699",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "56678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.