Provider Demographics
NPI:1013263474
Name:PARKER, CHASE TERRELL (OD)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:TERRELL
Last Name:PARKER
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 1:2532 RIVER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1479
Mailing Address - Country:US
Mailing Address - Phone:615-638-4016
Mailing Address - Fax:
Practice Address - Street 1:1300 ANTIOCH PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4102
Practice Address - Country:US
Practice Address - Phone:615-942-8893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3041152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist