Individual
DR. TIMOTHY ALAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
118 VISION DR, CORNELIA, GA 30531-5737
(706) 776-2020
(706) 776-7243
Mailing address
956 MINING GAP LN, YOUNG HARRIS, GA 30582-2324
(813) 995-7577
(706) 515-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1572DT
KY
152W00000X
Optometrist
OPC4231
FL
152W00000X
Optometrist
Primary
OPT002112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043776809
UNITED HEALTH CARE
KY
01
—
1223592
CHA
KY
01
—
336311
AMTHEM BC/BS
KY
01
—
7938741
AETNA
KY
Enumeration date
06/03/2006
Last updated
03/15/2023
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