Organization Active NPI

J. Annette Parker-Herriott, O.D., P.C,.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1902097066
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001403 Issued in GA
Legal business name
J. ANNETTE PARKER-HERRIOTT, O.D., P.C,.
Practice address
321 W Montgomery XRD
Savannah, GA 31406-3392
Phone
(912) 927-0707
Fax
(912) 927-0677
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Jakelyn A. Parker-Herriott, O.D.NPI 1477502789
Title
Owner
Phone
(912) 927-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001403 GA Primary

Addresses

Primary practice location

321 W Montgomery XRD
Savannah, GA 31406-3392

Mailing address

PO Box 16143
Savannah, GA 31416-2843
Phone (912) 927-0707

Other names 1

  • EnVision Eye Care - Dr. J. A. Parker & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000424 GA Part B Supplier - Clinic/Group Practice 4183726169 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2162493Envision Eye Care321 W Montgomery Crossroads, Savannah, GA 31406Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Locations

321 W Montgomery Xrds
Savannah, GA 31406
Phone (912) 927-0707

10010 Abercorn St
Ste 2
Savannah, GA 31406
Phone (912) 927-0707

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1902097066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16143",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162843",
            "telephone_number": "912-927-0707",
            "fax_number": "912-927-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W MONTGOMERY XRD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063392",
            "telephone_number": "912-927-0707",
            "fax_number": "912-927-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ANNETTE PARKER-HERRIOTT, O.D., P.C,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "PARKER-HERRIOTT",
        "authorized_official_first_name": "JAKELYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-927-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EnVision Eye Care - Dr. J. A. Parker & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.