MEDICARE: DR. KRISTEN M PARKINSON 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	OEG001940	PA

General Provider Information

NPI Number	:	1326246935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN M PARKINSON OD

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	2652 DARLINGTON RD STE 60
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-1295
Country	:	US
Telephone Number	:	724-843-2728
Fax Number	:	724-843-2725

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	10/04/2024

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