Joseph K. Parks, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

774 Issued in MT

Legal business name

JOSEPH K. PARKS, P.C.

Doing business as

River Rock Vision Center

Practice address

127 Village Dr
Suite 300
Belgrade, MT 59714-9617

Phone

(406) 388-9661

Fax

(406) 388-9662

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Kyle Parks, O.D.NPI 1255493599

Title

Owner

Phone

(406) 388-9661

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• River Rock Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Kyle Parks, O.D.

  • Optometrist
  • Belgrade, MT
  • NPI 1255493599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1902077407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 VILLAGE DR",
            "address_2": "SUITE 300",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149617",
            "telephone_number": "406-388-9661",
            "fax_number": "406-388-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 VILLAGE DR",
            "address_2": "SUITE 300",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149617",
            "telephone_number": "406-388-9661",
            "fax_number": "406-388-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K. PARKS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-388-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483701",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Rock Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Gregory Jensen, DC
• Kelli Jo Johnson, D.V.M
• Nicholas Joseph Johnson, D.V.M.
• Randall Craig Johnson, DDS
• Elly Olivia Jones
• Nicole E Joyce
• David Lee Jurenka, PHARMD.
• Leslee Bergum Kane, M.D.
• Regina Kane, MS LCPC
• Billy Keffer

• Optometrist in Belgrade, MT
• Providers in Belgrade, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.