Active NPI
Bruce C. Parsons, OD PC
- Optometrist
- Toledo, OR
National Provider Identifier
1699854539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 955AT1 ACTIVE
- Practice address
- 680 W Highway 20
Toledo, OR 97391-0190 - Phone
- (541) 336-3211
- Fax
- (541) 336-3043
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 955AT1 ACTIVE | OR | Primary |
Addresses
Primary practice location
680 W Highway 20
Toledo, OR 97391-0190
Mailing address
PO Box 190
Toledo, OR 97391-0190
Phone (541) 336-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147637 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000164 | OR | Practitioner - Optometry | 9436269461 | Practice locations: Toledo, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 955AT1 ACTIVE | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1699854539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973910190",
"telephone_number": "541-336-3211",
"fax_number": "541-336-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 W HIGHWAY 20",
"city": "TOLEDO",
"state": "OR",
"postal_code": "973910190",
"telephone_number": "541-336-3211",
"fax_number": "541-336-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "BRUCE",
"middle_name": "C.",
"credential": "OD PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "955AT1 ACTIVE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147637",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.