Provider Demographics
NPI:1356612535
Name:PARKER, COURTNEY SWORD (OD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:SWORD
Last Name:PARKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:JOANNE
Other - Last Name:SWORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3535 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6060
Practice Address - Country:US
Practice Address - Phone:252-756-8787
Practice Address - Fax:252-756-5737
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2262152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist