Parker, Michael Ray
Parker, Michael Ray is an sole proprietor health care provider with primary practice located at 900 Gault Ave S , Fort Payne AL 35967. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Parker, Michael Ray can be contacted via phone (256) 845-6360.Contact Information
Primary practice address
900 Gault Ave S
Fort Payne AL 35967
Phone: (256) 845-6360
Fax: (256) 845-6364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S468TA071 | Alabama |
Profile Details
| NPI number | 1477521698 |
|---|---|
| LBN Legal business name | Parker, Michael Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 1st, 2011 - about 13 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 | 1477521698 | NPPES |
| Alabama | MEDICAID | 000059630 |
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