Individual
DR. JOSEPH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3554
TN
152W00000X
Optometrist
6609TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174362702
—
TX
01
—
81314Q
BLUE SHIELD
TX
01
—
P00250663
RR/MEDICARE
TX
Enumeration date
03/31/2006
Last updated
11/12/2025
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