Active NPI
Claude Jackson Parker III, MD
- Ophthalmology Physician
- Orlando, FL
National Provider Identifier
1467480202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME50072
- Practice address
- 5127 S Orange Ave
Suite 100
Orlando, FL 32809-3000 - Phone
- (407) 841-1491
- Fax
- (407) 841-1493
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME50072 | FL | Primary |
Addresses
Primary practice location
5127 S Orange Ave
Suite 100
Orlando, FL 32809-3000
Mailing address
5127 S Orange Ave
Suite 100
Orlando, FL 32809-3000
Phone (407) 841-1491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180027261 | Other | FL | RR MEDICARE |
| 049443300 | Medicaid | FL |
Other names 1
- C. Jack Parker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of South Florida College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5127 S Orange Ave
Suite 100
Orlando, FL 32809-3073
Phone (407) 841-1491
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50072 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian D. Haas M.D. P.L. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1083842173
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1134351802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1467480202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5127 S ORANGE AVE",
"address_2": "SUITE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093000",
"telephone_number": "407-841-1491",
"fax_number": "407-841-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5127 S ORANGE AVE",
"address_2": "SUITE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328093000",
"telephone_number": "407-841-1491",
"fax_number": "407-841-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CLAUDE",
"middle_name": "JACKSON",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME50072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180027261",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049443300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C. JACK",
"last_name": "PARKER",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.