MEDICARE: CHARLIE J PARSONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG001097	PA
2	152W00000X	Optometrist	OEG000051	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	DF9974	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1426790	OTHER	PA	HIGHMARK BLUE SHIELD
2	1535610	OTHER	PA	AETNA HMO
3	02450500	OTHER	PA	CAPITOL BLUE CROSS
4	833045	OTHER	PA	AETNA, HMO
5	5187071	OTHER	PA	AETNA, PPO
6	5935579	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1780672956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLIE J PARSONS

Provider Business Mailing Address
First Line	:	50 EASTERN AVE
Second Line	:	SUITE 107
City	:	GREENCASTLE
State	:	PA
Zip	:	17225-1100
Country	:	US
Telephone Number	:	717-597-7708
Fax Number	:	717-597-1052

Provider Business Practice Location Address
First Line	:	50 EASTERN AVE
Second Line	:	SUITE 107
City	:	GREENCASTLE
State	:	PA
Zip	:	17225-1100
Country	:	US
Telephone Number	:	717-597-7708
Fax Number	:	717-597-1052

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. ELISSA MARIE PARSONS
Credential	:
Telephone Number	:	717-597-7708

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	03/16/2010

Similar Medicare Providers

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Practice Location Address:

50 EASTERN AVE , SUITE 107
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17225-1100

Practice Phone: 717-597-7708
Practice Fax: 717-597-1052

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1518946110 — JOSEPH K THORNTON MD
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1265411821 — DR. NATHAN T. DERSTINE D.O.
Practice Location Address:

50 EASTERN AVE , STE. 135
GREENCASTLE, PA
17225-1100

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1528098852 — SUSAN K ARNOULT M.D.
Practice Location Address:

50 EASTERN AVE , STE 135
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17225-1100

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1528098605 — REBECCA LYNNE POUND MD
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Directions to “CHARLIE J PARSONS ” Practice Location

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