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Contact Information

ROBERT S PARKER III, OD
931 W RACE ST
SUITE A
KINGSTON, TN37763-2123
 Phone: 865-248-8130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT S PARKER III · (Male)

NPI # 1740482355
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/05/2007
Last updated 03/14/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # ODT728
  • TN Medicaid 1524133
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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