Provider Demographics
NPI:1700884442
Name:PARKER, BARTON JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:JAMES
Last Name:PARKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6201 S JOG RD
Mailing Address - Street 2:STE 104
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6598
Mailing Address - Country:US
Mailing Address - Phone:561-967-1888
Mailing Address - Fax:561-967-1998
Practice Address - Street 1:5970 JOG RD
Practice Address - Street 2:SUITE D
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6590
Practice Address - Country:US
Practice Address - Phone:561-967-1888
Practice Address - Fax:561-967-1998
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620477500Medicaid
FL620477500Medicaid
FLU75488Medicare UPIN
FL20878Medicare PIN