Individual provider Active NPI

Rochelle Kathleen Parks, O.D.

  • Optometrist
  • Dunlap, TN
National Provider Identifier
1346436003
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2738 Issued in TN
Practice address
15247 Rankin Ave.
Dunlap, TN 37327
Phone
(423) 949-3937
Fax
(423) 949-8329
NPI assigned
Sep 17, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2738 TN Primary

Addresses

Primary practice location

15247 Rankin Ave.
Dunlap, TN 37327

Mailing address

PO Box 1449
Dunlap, TN 37327-1449
Phone (423) 949-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111129000613 TN Practitioner - Optometry 2567636616 Reassigns benefits to 1 organization
Practice locations: Dunlap, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Elliott OD and Associates IncGroup PAC ID 3577752526, 9 clinicians

Practice addresses (Care Compare)

15449 Rankin Ave
Dunlap, TN 37327-7014
Phone (423) 949-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D. Elliott, O.D. & Associates, Inc Optometrist CurrentSince Sep 6, 2020 Accepting new patients
Kenneth W. Nix, O.D. Optometrist Past Accepting new patients
Steven D. Elliott, O.D. & Associates, Inc. Optometrist Past Accepting new patients

Locations

15247 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-3937

15449 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-2020

6719 Maynardville Pike
Knoxville, TN 37918
Phone (865) 377-4141

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1346436003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373271449",
            "telephone_number": "423-949-3937",
            "fax_number": "423-949-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15247 RANKIN AVE.",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "37327",
            "telephone_number": "423-949-3937",
            "fax_number": "423-949-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ROCHELLE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

Verify at the official NPI Registry.