Individual provider Active NPI

Jordan Michael Parrish, O.D.

  • Optometrist
  • Labelle, FL
National Provider Identifier
1679921977
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5189 Issued in FL
Practice address
100 N Main St
Labelle, FL 33935-7000
Phone
(863) 675-0761
Fax
(863) 675-3518
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5189 FL Primary

Addresses

Primary practice location

100 N Main St
Labelle, FL 33935-7000

Mailing address

100 N Main St
Labelle, FL 33935-7000
Phone (863) 675-0761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmparrish@rtparrish.eyefinity-direct.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725001875 FL Practitioner - Optometry 2163715475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randall T Parrish Jr OD PAGroup PAC ID 0446381073, 2 clinicians

Practice addresses (Care Compare)

100 N Main St
Labelle, FL 33935-7000
Phone (863) 675-0761

Merit-based Incentive Payment System (MIPS)

Final score
95.51 of 100Reported as individual
Quality
91.02
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5189FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall T Parrish Jr OD PA Optometrist CurrentSince Jun 20, 2016 Accepting new patients

Locations

100 N Main St
Labelle, FL 33935
Phone (863) 675-0761

Interoperability endpoints

  • Direct secure messaging: jmparrish@rtparrish.eyefinity-direct.com

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1679921977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339357000",
            "telephone_number": "863-675-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339357000",
            "telephone_number": "863-675-0761",
            "fax_number": "863-675-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmparrish@rtparrish.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "100 N Main St",
            "city": "LaBelle",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339357000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.