MEDICARE: MR. PARKER SCOTT EDWARDS 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	18004665A	IN

General Provider Information

NPI Number	:	1245197888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PARKER SCOTT EDWARDS OD

Provider Business Mailing Address
First Line	:	4000 POPLAR LEVEL RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40213-1524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 E 10TH ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-9315
Country	:	US
Telephone Number	:	812-590-6810
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	06/08/2026

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