Individual
DR. LISA A. PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1871
NC
152WC0802X
Corneal and Contact Management Optometrist
1871
NC
152WP0200X
Pediatric Optometrist
1871
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093R6
BCBS
NC
01
—
161680430
SUPERIOR VISION
NC
01
—
220647
EYEMED
NC
01
—
220647, 220648
COLE VISION
NC
01
—
24960
SPECTERA
NC
01
—
7412606
AETNA
NC
Enumeration date
06/07/2006
Last updated
03/14/2014
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