Parker-Herriott, Jakelyn Annette
Parker-Herriott, Jakelyn Annette is an individual health care provider with primary practice located at 321 W Montgomery Xrd , Savannah GA 31406-3392. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Parker-Herriott, Jakelyn Annette can be contacted via phone (912) 927-0707.Contact Information
Primary practice address
321 W Montgomery Xrd
Savannah GA 31406-3392
Phone: (912) 927-0707
Fax: (912) 927-0677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001403 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1075 | South Carolina |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPT001403 | Georgia |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1075 | South Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPT001403 | Georgia |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1075 | South Carolina |
Profile Details
| NPI number | 1477502789 |
|---|---|
| LBN Legal business name | Parker-Herriott, Jakelyn Annette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Sep 17th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477502789 | NPPES |
| Georgia | MEDICAID | DG1403 | |
| Georgia | MEDICAID | 00612092A |
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