Provider Demographics
NPI:1336189331
Name:PARKER, MEGAN S (OD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:S
Last Name:PARKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6013 HARBOUR PARK DR
Mailing Address - Street 2:STE A
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2160
Mailing Address - Country:US
Mailing Address - Phone:804-595-2020
Mailing Address - Fax:804-595-1260
Practice Address - Street 1:6013 HARBOUR PARK DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2160
Practice Address - Country:US
Practice Address - Phone:804-595-2020
Practice Address - Fax:804-595-1260
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001164152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010061032Medicaid
VA386794OtherANTHEM
VA410048746OtherMEDICARE RR
VA010061032Medicaid
VA386794OtherANTHEM