Provider Demographics
NPI:1205037926
Name:WILLIAM PATRICK PARKS
Entity Type:Organization
Organization Name:WILLIAM PATRICK PARKS
Other - Org Name:PARKS EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-414-0500
Mailing Address - Street 1:4170 LAVON DR STE 140
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2926
Mailing Address - Country:US
Mailing Address - Phone:972-414-0500
Mailing Address - Fax:972-414-0588
Practice Address - Street 1:4170 LAVON DR STE 140
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2926
Practice Address - Country:US
Practice Address - Phone:972-414-0500
Practice Address - Fax:972-414-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7003T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty