Individual provider Active NPI

Joshua K Parmelee, OD

  • Optometrist
  • Waycross, GA
National Provider Identifier
1396128179
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002879 Issued in GA
Practice address
2215 Memorial Dr
Waycross, GA 31501-0983
Phone
(912) 285-2021
Fax
(912) 285-2558
NPI assigned
Jun 30, 2015
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002879 GA Primary

Addresses

Primary practice location

2215 Memorial Dr
Waycross, GA 31501-0983

Mailing address

1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150804005556 GA Practitioner - Optometry 9931413911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parmelee Eye Care LLCGroup PAC ID 9830498435, 3 clinicians

Practice addresses (Care Compare)

1730 Brunswick Hwy
Waycross, GA 31501-0908
Phone (912) 283-9383

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002879GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parmelee Eye Care LLC CurrentSince Feb 1, 2016 Accepting new patients

Locations

1601 Gloucester St
Brunswick, GA 31520
Phone (912) 222-3453

1909 Gloucester St
Brunswick, GA 31520
Phone (912) 275-7741

1730 Brunswick Hwy
Waycross, GA 31501
Phone (904) 261-5741

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, 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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1396128179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 MEMORIAL DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315010983",
            "telephone_number": "912-285-2021",
            "fax_number": "912-285-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "JOSHUA",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.