Organization Active NPI

Brian L. Parker, O.D., a Professional Corporation

  • Clinic/Center
  • Temecula, CA
National Provider Identifier
1447760988
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
13818TLG Issued in CA
Legal business name
BRIAN L. PARKER, O.D., A PROFESSIONAL CORPORATION
Practice address
41720 Winchester Rd Ste D
Temecula, CA 92590-4871
Phone
(951) 296-1822
Fax
(951) 296-1821
NPI assigned
Oct 11, 2017
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Dr. Brian Lemoyne Parker, ODNPI 1558591545
Title
Optometrist
Phone
(951) 296-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 13818TLG CA Primary

Addresses

Primary practice location

41720 Winchester Rd Ste D
Temecula, CA 92590-4871

Mailing address

41720 Winchester Rd Ste D
Temecula, CA 92590-4871
Phone (951) 296-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171108003514 CA Part B Supplier - Clinic/Group Practice 1850657727 Receives reassigned benefits from 1 practitioner
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1447760988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41720 WINCHESTER RD STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904871",
            "telephone_number": "951-296-1822",
            "fax_number": "951-296-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41720 WINCHESTER RD STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904871",
            "telephone_number": "951-296-1822",
            "fax_number": "951-296-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L. PARKER, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEMOYNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-296-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "13818TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.