Provider Demographics
NPI:1831487875
Name:PARNELL, JEFFREY KYLE (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KYLE
Last Name:PARNELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 COLLINS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8501
Mailing Address - Country:US
Mailing Address - Phone:740-646-0162
Mailing Address - Fax:
Practice Address - Street 1:214 COLLINS AVE STE C
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8501
Practice Address - Country:US
Practice Address - Phone:740-377-8989
Practice Address - Fax:740-377-8990
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6062152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist