MEDICARE: HEEREN PAREKH 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	OPC6764	FL

General Provider Information

NPI Number	:	1699566380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEEREN PAREKH OD

Provider Business Mailing Address
First Line	:	6701 N 82ND PL
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-5653
Country	:	US
Telephone Number	:	480-227-9928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E 23RD ST UNIT 1B
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5301
Country	:	US
Telephone Number	:	850-872-1200
Fax Number	:

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

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	08/11/2025

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