Individual provider Active NPI

Olivia Mitchell Parker, OD

  • Optometrist
  • Selmer, TN
National Provider Identifier
1811738677
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3913 Issued in TN
Practice address
699 E Poplar Ave
Selmer, TN 38375-1828
Phone
(731) 434-3401
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3913 TN Primary

Addresses

Primary practice location

699 E Poplar Ave
Selmer, TN 38375-1828

Mailing address

65 Hac St
Savannah, TN 38372-1836
Phone (731) 610-5808

Other practice location 1

175 Ji Bell Ln
Savannah, TN 38372-5110
Phone (731) 610-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20241119003245 TN Practitioner - Optometry 3870028467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Eye Center, PLLCGroup PAC ID 2961758222, 3 clinicians

Practice addresses (Care Compare)

699 E Poplar Ave
Selmer, TN 38375-1828
Phone (731) 434-3401

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3913TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Eye Center, PLLC Optometrist CurrentSince Aug 26, 2024 Accepting new patients
Parker Vision PLLC Optometrist PastSince Jun 9, 2024 Accepting new patients

Locations

699 E Poplar Ave
Selmer, TN 38375
Phone (731) 434-3401

Organizations & group practices 2

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1811738677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HAC ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721836",
            "telephone_number": "731-610-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751828",
            "telephone_number": "731-434-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Ji Bell Ln",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383725110",
            "country_code": "US",
            "telephone_number": "731-610-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "OLIVIA",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.