Active NPI
Lindsay Parker, OD
- Optometrist
- Heber City, UT
National Provider Identifier
1730753369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 113466-9334
- Practice address
- 675 West 100 South
Heber City, UT 84032 - Phone
- (801) 318-5645
- NPI assigned
- May 18, 2021
- 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 | 113466-9334 | UT | Primary |
Addresses
Primary practice location
675 West 100 South
Heber City, UT 84032
Mailing address
675 West 100 South
Heber City, UT 84032
Phone (801) 318-5645
Other practice location 1
815 W 2000 N
Layton, UT 84041
Phone (801) 318-5645
Other practice location 2
1818 S. 300 W.
Salt Lake City, UT 84115
Phone (801) 542-9876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113466-9934 | Other | UT | STATE OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113466-9334 | UT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1730753369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 WEST 100 SOUTH",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "84032",
"telephone_number": "801-318-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 WEST 100 SOUTH",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "84032",
"telephone_number": "801-318-5645"
}
],
"practiceLocations": [
{
"address_1": "815 W 2000 N",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "84041",
"country_code": "US",
"telephone_number": "801-318-5645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 S. 300 W.",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84115",
"country_code": "US",
"telephone_number": "801-542-9876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "LINDSAY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "113466-9334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF UTAH",
"identifier": "113466-9934",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.