Individual
DR. MICHAEL R PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2091 W US HIGHWAY 22 AND 3, MAINEVILLE, OH 45039-9401
(513) 677-8866
(513) 677-9113
Mailing address
2091 W US HIGHWAY 22 AND 3, MAINEVILLE, OH 45039-9401
(513) 677-8866
(513) 677-9113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218259
—
OH
Enumeration date
01/18/2007
Last updated
07/09/2007
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