Traci Camille Parker, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5880TG Issued in TX

Practice address

2601 S I H 35 Ste C100
Round Rock, TX 78664-7336

Phone

(512) 246-3937

Fax

(512) 310-7951

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Vision Group, PLLC

  dba Master Eye Associates

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment Care Compare group NPD
• Optometric Associates of Texas P.a.

  dba Master Eye Associates

  • Optometrist
  • Arlington, TX
  • NPI 1043222888
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548274921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 GARRISON CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173005",
            "telephone_number": "512-733-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S I H 35 STE C100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647336",
            "telephone_number": "512-246-3937",
            "fax_number": "512-310-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TRACI",
        "middle_name": "CAMILLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5880TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason D Parker, M.D.
• Lynda M Parker, M.D.
• Mary Parker, LPC
• Matthew D Parker, MD
• Meghan Avery Parker
• Valerie Parker, LCDC
• Susannah Parkin, LMSW
• Anthony Lloyd Parks, CFA
• Heather Parks, AGACNP-BC
• Jonathan Parks, ACSM-EP

• Corneal and Contact Management Optometrist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.