Healthcare Provider Details

I. General information

NPI: 1730285347
Provider Name (Legal Business Name): DAVID REID PARSONS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OLDS ST
JONESVILLE MI
49250-9477
US

IV. Provider business mailing address

6051 RIVERSIDE DR
JACKSON MI
49201-9377
US

V. Phone/Fax

Practice location:
  • Phone: 517-849-7020
  • Fax:
Mailing address:
  • Phone: 517-750-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: