Individual provider Active NPI

Adam Paul Parker, O.D.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1477510980
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001251 Issued in VA
Practice address
6019 Harbour Park Dr
Midlothian, VA 23112-2160
Phone
(804) 595-2020
Fax
(804) 595-1260
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001251 VA Primary

Addresses

Primary practice location

6019 Harbour Park Dr
Midlothian, VA 23112-2160

Mailing address

6019 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 595-2020

Other identifiers 1

IdentifierTypeStateIssuer
6893140001OtherDMERC REGION C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041004000782 VA Practitioner - Optometry 5092774356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam P Parker OD PCGroup PAC ID 5294739371, 4 clinicians

Practice addresses (Care Compare)

6013 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 595-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001251VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam P Parker OD PC Optometrist CurrentSince Aug 1, 2005 Accepting new patients
Gregory P. Jellenek, OD & Associates, PC Optometrist Past Accepting new patients

Locations

6013 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 595-2020

12200 Chattanooga Plz
Midlothian, VA 23112
Phone (804) 744-5150

6019 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 595-1244

Interoperability endpoints

  • Direct secure messaging: adam.parker@direct.revolutionehr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1477510980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-595-2020",
            "fax_number": "804-595-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-595-2020",
            "fax_number": "804-595-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ADAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION C",
            "identifier": "6893140001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.