Individual
DR. JAKELYN ANNETTE PARKER-HERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
321 W MONTGOMERY XRD, SAVANNAH, GA 31406-3392
(912) 927-0707
(912) 927-0677
Mailing address
PO BOX 16143, SAVANNAH, GA 31416-2843
(912) 927-0707
(912) 927-0677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1075
SC
152W00000X
Optometrist
Primary
OPT001403
GA
152WL0500X
Low Vision Rehabilitation Optometrist
1075
SC
152WL0500X
Low Vision Rehabilitation Optometrist
OPT001403
GA
152WV0400X
Vision Therapy Optometrist
1075
SC
152WV0400X
Vision Therapy Optometrist
OPT001403
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612092A
—
GA
05
—
DG1403
—
GA
Enumeration date
05/06/2006
Last updated
09/17/2008
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