Healthcare Provider Details

I. General information

NPI: 1821269473
Provider Name (Legal Business Name): AIMEE PARKER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W MARKET ST
GEORGETOWN DE
19947-2322
US

IV. Provider business mailing address

502 W MARKET ST
GEORGETOWN DE
19947-2322
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-2020
  • Fax: 302-856-4970
Mailing address:
  • Phone: 302-856-2020
  • Fax: 302-856-4970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberI30001326
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: