MEDICARE: BARTON PARKER, OD, PC

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	3148	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366886210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARTON PARKER, OD, PC

Provider Business Mailing Address
First Line	:	5970 S JOG RD
Second Line	:	SUITE D
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6590
Country	:	US
Telephone Number	:	561-967-1888
Fax Number	:	561-967-1998

Provider Business Practice Location Address
First Line	:	5970 S JOG RD
Second Line	:	SUITE D
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6590
Country	:	US
Telephone Number	:	561-967-1888
Fax Number	:	561-967-1998

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BARTON J PARKER
Credential	:	OD
Telephone Number	:	561-967-1888

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/23/2013

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