Provider Demographics
NPI:1083842173
Name:PARKER EYE CENTER LLC
Entity type:Organization
Organization Name:PARKER EYE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:407-841-1491
Mailing Address - Street 1:5127 S ORANGE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-3073
Mailing Address - Country:US
Mailing Address - Phone:407-841-1491
Mailing Address - Fax:407-841-1493
Practice Address - Street 1:5127 S ORANGE AVE STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-3073
Practice Address - Country:US
Practice Address - Phone:407-841-1491
Practice Address - Fax:407-841-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty