Riley Anne Parker

Primary specialty

OptometristTaxonomy code 152W00000X

License

2025019354 Issued in MO

Practice address

3440 S National Ave
Springfield, MO 65807-7307

Phone

(417) 886-5444

NPI assigned

Apr 21, 2025

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MO

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

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Clinic PCGroup PAC ID 2668404161, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Vision Clinic PC

  • Optometrist
  • Springfield, MO
  • NPI 1316963564
  Medicare reassignment Care Compare group NPD
• Vision Clinic PC

  • Optometrist
  • Ozark, MO
  • NPI 1699020834
  NPD

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1770370249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE # 2020",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-725-0500",
            "fax_number": "417-725-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-886-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3964 W Tall Pine Ct",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658108001",
            "country_code": "US",
            "telephone_number": "417-812-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 N McCroskey St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149313",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 State Highway 248 Ste A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656168004",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 W Olive St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061307",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217634",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RILEY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025019354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Plaza Physical Therapy Limited Partnership (Back in Motion Physical Therapy)
• Park Plaza Physical Therapy Limited Partnership (Back in Motion Physical Therapy)
• Boyoung Park
• Dan D Park, DPM
• Jennifer A. Parker, MA
• Stephanie R Parker, MS, LCSW
• Ann Elise Parkhurst, PH.D., LP
• Chastidy Parks
• Olivia Parks, PLPC
• Matthew C. Parmley, M.D.

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.