Individual
DR. PARKER LEE CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1300
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410046504
METRA-HEALTH RR-MEDICARE
CO
05
—
56604335
—
CO
01
—
84-1571984
TAX I.D. NUMBER
CO
Enumeration date
11/13/2006
Last updated
07/10/2012
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