MEDICARE: DR. BARTON JAMES PARKER 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	OPC 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	:	1700884442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARTON JAMES PARKER OD

Provider Business Mailing Address
First Line	:	6201 S JOG RD
Second Line	:	STE 104
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6598
Country	:	US
Telephone Number	:	561-967-1888
Fax Number	:	561-967-1998

Provider Business Practice Location Address
First Line	:	5970 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/16/2020

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