Provider Demographics
NPI:1356380927
Name:PARKER, JAMES C (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:PARKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-8543
Mailing Address - Country:US
Mailing Address - Phone:912-354-4800
Mailing Address - Fax:912-629-5821
Practice Address - Street 1:4720 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6292
Practice Address - Country:US
Practice Address - Phone:912-354-4800
Practice Address - Fax:912-629-5821
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1171152W00000X
GA001857152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA349815OtherWELLCARE
GA10065164OtherAMERIGROUP
GA52887635-002OtherBCBS
GA1356380927OtherMEDICARE RAILROAD
GA511G701032OtherMEDICARE GROUP
GA898236251BOtherMEDICAID - RICHMOND HILL
GA898236251CMedicaid
GA898236251BOtherMEDICAID - RICHMOND HILL
GA0412940001Medicare NSC
GA52887635-002OtherBCBS
GA511G701032OtherMEDICARE GROUP
GA349815OtherWELLCARE
GA0412940005Medicare NSC
GA0412940002Medicare NSC
U84300Medicare UPIN
GA6150410003Medicare NSC
GA511I410157Medicare PIN