Dr. David J. Parker, Jr.

Primary specialty

OptometristTaxonomy code 152W00000X

License

534 Issued in MS

Legal business name

DR. DAVID J. PARKER, JR.

Practice address

110 N Jerry Clower Blvd
Suite H
Yazoo City, MS 39194-8669

Phone

(662) 746-1623

Fax

(662) 746-4397

NPI assigned

Apr 22, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Jasper Parker Jr., ODNPI 1922162007

Title

Optometrist

Phone

(662) 746-1623

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Parker Jr.

  • Optometrist
  • Yazoo City, MS
  • NPI 1922162007
  Authorized official Same address or phone

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1376717215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940202",
            "telephone_number": "662-746-1623",
            "fax_number": "662-746-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N JERRY CLOWER BLVD",
            "address_2": "SUITE H",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391948669",
            "telephone_number": "662-746-1623",
            "fax_number": "662-746-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID J. PARKER, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JASPER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-746-1623",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087095",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luisa Diaz, M.D.
• Stephen Diew
• Andrea Donerson
• Terri Peyton Dooley
• Dr James C Hamilton PA
• Helen Fouche Durant, APRN
• Dynamic Yazoo City Operating Company LLC
• Emerald Well, PLLC
• Essco Discount Drug Center Inc (Essco Discount Drug Center)
• Reva Marie Eulls

• Optometrist in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.