Organization
R JEFFREY PARKER MD A PROFESSIONAL CORPORATION
Active
Other names
Retina Consultants of Southern Utah
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRIM (CREDENTIALING SPECIALIST)
(702) 202-4776
Entity
Organization
Contact information
Practice address
1791 E 280 N, ST GEORGE, UT 84790-2400
(702) 369-0200
(702) 243-8383
Mailing address
3006 S MARYLAND PARKWAY, SUITE 710, LAS VEGAS, NV 89109
(702) 369-0200
(702) 243-8383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
963214201205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530401246018
—
UT
Enumeration date
06/04/2006
Last updated
03/29/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up