Active NPI
Matthew David Parker, OD
- Optometrist
- Corsicana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7009TG
- Practice address
- 400 N 15TH St
Corsicana, TX 75110-4514 - Phone
- (903) 229-4141
- Fax
- (903) 872-5273
- NPI assigned
- Nov 3, 2005
- 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 | 7009TG | TX | Primary |
Addresses
Primary practice location
400 N 15TH St
Corsicana, TX 75110-4514
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2144 N Belt Line Rd
Suite C
Mesquite, TX 75150-5860
Phone (972) 329-1828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2781 | WI | MD | Chiropractor |
| 7009TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
400 N 15th St
Corsicana, TX 75110
Phone (903) 229-4141
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
104 E US Highway 80
Ste 100
Forney, TX 75126
Phone (972) 552-2020
2144 N Belt Line Rd
Ste C
Mesquite, TX 75150
Phone (972) 329-1828
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 4
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.
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- NPI 1821605197
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- Optometrist
- Oklahoma City, OK
- NPI 1679440762
-
- Optometrist
- Silver Spring, MD
- NPI 1336204387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1790776292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 15TH ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104514",
"telephone_number": "903-229-4141",
"fax_number": "903-872-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7009TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.