Doctor Name: | TRACY PARKER |
NPI Number: | 1396131181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4515 Beaver Creek Dr Greenwell Springs, LA - 707393504 |
Business Phone Number: | 2253010727 |
Business Fax Number: | |
Mailing Address: | 4515 Beaver Creek Dr, GREENWELL SPRINGS |
State: | LA |
Postal Code: | 707393504 |
Phone Number: | 2253010727 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2015 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FC0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Contact Lens |
Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |