Organization Active NPI

Parker Family Eye Care, OD, PLLC

  • Optometrist
  • Goldsboro, NC
National Provider Identifier
1982974614
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2067 Issued in NC
Legal business name
PARKER FAMILY EYE CARE, OD, PLLC
Practice address
1299 Parkway Dr Ste F
Goldsboro, NC 27534-3491
Phone
(919) 734-8998
Fax
(919) 734-8976
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Haley Parker, O.D.NPI 1528247327
Title
Owner/Optometrist
Phone
(919) 734-8998

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 2067 NC Primary

Addresses

Primary practice location

1299 Parkway Dr Ste F
Goldsboro, NC 27534-3491

Mailing address

1299 Parkway Dr Ste F
Goldsboro, NC 27534-3491
Phone (919) 734-8998

Other identifiers 2

IdentifierTypeStateIssuer
5908327MedicaidNC
5919629MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000445 NC Part B Supplier - Clinic/Group Practice 1355508771 Receives reassigned benefits from 1 practitioner
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory

Locations

1299 Parkway Dr
Ste F
Goldsboro, NC 27534
Phone (919) 734-8998

1318 Wayne Memorial Dr
Ste C
Goldsboro, NC 27534
Phone (919) 734-8998

Practitioners & affiliated clinicians

Practitioners 1

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1982974614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 PARKWAY DR STE F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343491",
            "telephone_number": "919-734-8998",
            "fax_number": "919-734-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PARKWAY DR STE F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343491",
            "telephone_number": "919-734-8998",
            "fax_number": "919-734-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER FAMILY EYE CARE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "919-734-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908327",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.