David J Parker Jr.

Primary specialty

OptometristTaxonomy code 152W00000X

License

534 Issued in MS

Practice address

110 N Jerry Clower Blvd
Ste H
Yazoo City, MS 39194-8669

Phone

(662) 746-1623

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bellipanni Eye Clinic, PLLC

  • Optometrist
  • Indianola, MS
  • NPI 1801170287
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1922162007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N JERRY CLOWER BLVD",
            "address_2": "STE H",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391948669",
            "telephone_number": "662-746-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087095",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pauline Njiti, PHARMD.
• Oasis Health & Rehab of Yazoo City, LLC
• Gloria Owens
• P & S Pharmacy, Inc
• Pamela B Ledbetter
• Leigh Parker
• Ouida Parks, LPC
• Candace Patterson
• Paul Family Dentistry, Inc.
• Tracy Peyton Paul, DMD

• Optometrist in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.