MEDICARE: PARKER TODD MONSEN OD

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	OPT.007402	OH
2	152W00000X	Optometrist	2024020286	MO

General Provider Information

NPI Number	:	1174367197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARKER TODD MONSEN OD

Provider Business Mailing Address
First Line	:	800 MCKINLEY AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-2463
Country	:	US
Telephone Number	:	330-452-8884
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MCKINLEY AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-2463
Country	:	US
Telephone Number	:	330-452-8884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	12/04/2025

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Directions to “ PARKER TODD MONSEN OD” Practice Location

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