Individual provider Active NPI

Jeffrey Kyle Parnell, O.D.

  • Optometrist
  • South Point, OH
National Provider Identifier
1831487875
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6062 Issued in OH
Practice address
214 Collins Ave Ste C
South Point, OH 45680-8501
Phone
(740) 377-8989
Fax
(740) 377-8990
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6062 OH Primary

Addresses

Primary practice location

214 Collins Ave Ste C
South Point, OH 45680-8501

Mailing address

214 Collins Ave Ste C
South Point, OH 45680-8501
Phone (740) 646-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150406001981 OH Practitioner - Optometry 4880912740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Parnell Family Eye Care LLCGroup PAC ID 9032523444, 2 clinicians

Practice addresses (Care Compare)

214 Collins Ave
Suite C
South Point, OH 45680-8501
Phone (740) 377-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6062OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parnell Family Eye Care LLC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

214 Collins Ave
Ste C
South Point, OH 45680
Phone (740) 377-8989

Interoperability endpoints

  • Direct secure messaging: jeffrey.parnell@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1831487875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLLINS AVE STE C",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808501",
            "telephone_number": "740-646-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLINS AVE STE C",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808501",
            "telephone_number": "740-377-8989",
            "fax_number": "740-377-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "JEFFREY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.