Individual provider Active NPI

David S Parker, O.D.

  • Optometrist
  • Madison, AL
National Provider Identifier
1427116607
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-995-TA-560 Issued in AL
Practice address
66 Hughes Rd
Madison, AL 35758-2220
Phone
(256) 461-7100
Fax
(256) 461-7101
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-995-TA-560 AL Primary

Addresses

Primary practice location

66 Hughes Rd
Madison, AL 35758-2220

Mailing address

66 Hughes Rd
Madison, AL 35758-2220
Phone (256) 461-7100

Other identifiers 1

IdentifierTypeStateIssuer
4533070001OtherALDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111116000844 AL Practitioner - Optometry 3375637432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Eye Care Center, LLCGroup PAC ID 0244256899, 3 clinicians

Practice addresses (Care Compare)

66 Hughes Rd
Madison, AL 35758-2220
Phone (256) 461-7100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-995-TA-560ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Eye Care Center, LLC Optometrist CurrentSince Jun 11, 2001 Accepting new patients

Locations

66 Hughes Rd
Madison, AL 35758
Phone (256) 461-7100

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427116607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582220",
            "telephone_number": "256-461-7100",
            "fax_number": "256-461-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582220",
            "telephone_number": "256-461-7100",
            "fax_number": "256-461-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-995-TA-560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4533070001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.