Provider Demographics
NPI:1740425164
Name:PARKER, WILLIAM DARRELL (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DARRELL
Last Name:PARKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:114 BLANCHARD ST STE 214
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7368
Mailing Address - Country:US
Mailing Address - Phone:318-349-3369
Mailing Address - Fax:866-620-6020
Practice Address - Street 1:114 BLANCHARD ST STE 214
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7368
Practice Address - Country:US
Practice Address - Phone:318-349-3369
Practice Address - Fax:866-620-6020
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA702152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist