Organization
DR. DAVID J. PARKER, JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JASPER PARKER JR. OD (OPTOMETRIST)
(662) 746-1623
Entity
Organization
Contact information
Practice address
110 N JERRY CLOWER BLVD, SUITE H, YAZOO CITY, MS 39194-8669
(662) 746-1623
(662) 746-4397
Mailing address
PO BOX 202, YAZOO CITY, MS 39194-0202
(662) 746-1623
(662) 746-4397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
534
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087095
—
MS
Enumeration date
04/22/2008
Last updated
06/17/2008
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