Healthcare Provider Details

I. General information

NPI: 1700137221
Provider Name (Legal Business Name): KATIE M. PARSONS, O.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 INFINITY RD STE D
LINCOLN NE
68512-3713
US

IV. Provider business mailing address

1401 INFINITY RD SUITE D
LINCOLN NE
68512-3712
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-0880
  • Fax: 402-420-0668
Mailing address:
  • Phone: 402-420-0880
  • Fax: 402-420-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1301
License Number StateNE

VIII. Authorized Official

Name: KATHY M WALTERS
Title or Position: CREDENTIALING AND INSURANCE CLAIMS
Credential:
Phone: 402-420-0880