Individual provider Active NPI

Barton James Parker, OD

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1700884442
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3148 Issued in FL
Practice address
5970 Jog Rd
Suite D
Lake Worth, FL 33467-6590
Phone
(561) 967-1888
Fax
(561) 967-1998
NPI assigned
Jul 7, 2005
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 3148 FL Primary

Addresses

Primary practice location

5970 Jog Rd
Suite D
Lake Worth, FL 33467-6590

Mailing address

6201 S Jog Rd
Ste 104
Lake Worth, FL 33467-6598
Phone (561) 967-1888

Other identifiers 1

IdentifierTypeStateIssuer
620477500MedicaidFL

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
I20041023000116 FL Practitioner - Optometry 7719948678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6201 S Jog Rd
Suite 104
Lake Worth, FL 33467-6598
Phone (561) 967-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3148FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Parker, OD, PC Optometrist CurrentSince Aug 1, 1997 Accepting new patients

Locations

5970 S Jog Rd
Ste D
Lake Worth, FL 33467
Phone (561) 967-1888

6201 S Jog Rd
Ste 104
Lake Worth, FL 33467
Phone (561) 967-1888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1700884442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 S JOG RD",
            "address_2": "STE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676598",
            "telephone_number": "561-967-1888",
            "fax_number": "561-967-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 JOG RD",
            "address_2": "SUITE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676590",
            "telephone_number": "561-967-1888",
            "fax_number": "561-967-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BARTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620477500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.