PRIOR LEWIS PARKER (NPI# 1326076795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326076795 |
| Entity Type | Individual |
| Full Name | PRIOR LEWIS PARKER |
| Credential | MD |
| Practice Address |
200 Sandy Hollow Rd Mystic CT 06355-1720 |
| Mailing Address |
17 Wells St Suite 102 Westerly RI 02891-2923 |
| Practice Telephone | 8605364916 |
| Practice Fax Number | 8605363247 |
| Mailing Telephone | 4015960339 |
| Mailing Fax Number | 4015963437 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 031338 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH PLAN | 000000002011 | 01 | |
| UNITED HEALTH CARE | 966013 | 01 | |
| RI | BLUECHIP | 004298 | 01 |
| RAILROAD MEDICARE | 180000515 | 01 | |
| OXFORD | NLS023 | 01 | |
| RI | BLUE SHIELD | 0000002064 | 01 |
| HEALTHNET | 030080 | 01 | |
| HARVARD PILGRIM HEALTH | AA33963 | 01 | |
| CT | 001313387 | 05 | |
| DMERC | 180000515 | 01 | |
| CT | BLUESHIELD OF CT | 010031338CT01 | 01 |
| Street Address |
200 SANDY HOLLOW RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710210 | Thomas March Blum | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| 1730370669 | Jennifer L. Hardy | Nurse Practitioner | 200 Sandy Hollow Rd, Mystic, CT 06355-1744 | 2007-08-06 |
| 1780679472 | James Francis Sullivan | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-19 |
| 1194710269 | James David Scarles | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1821083999 | Warren Lewis Fields | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1902891070 | Mystic Medical Group, PC | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-15 |
| 1346235462 | Rosemary Catherine Bontempi | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| 1336134451 | Howard Brensilver | Internal Medicine | 200 Sandy Hollow Rd, Mystic, CT 06355-1720 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1255335113 | Francis Falck | Ophthalmology | 35 Washington St, Mystic, CT 06355-2816 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1841732088 | Peter Burch | Ophthalmology | 119 David Dr, Meriden, CT 06450-4605 | 2016-11-04 |
| 1851785240 | Romania Eye Center, LLC | Ophthalmology | 82 Plaza Court, Groton, CT 06340 | 2015-03-24 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1457778193 | Advanced Ophthalmology of Connecticut LLC | Ophthalmology | 1455 East Putnam Avenue, Old Greenwich, CT 06870 | 2014-03-19 |
| 1184047417 | Amanda Redfern | Ophthalmology | 40 Temple St Ste 3d, New Haven, CT 06510-2715 | 2014-01-22 |
| 1942646898 | William Robert Maron | Ophthalmology | 21 Woodland St Ste 222, Hartford, CT 06105-4318 | 2013-05-20 |
| 1578806758 | Amanda Dinsmore | Ophthalmology | 57 North St Ste 415, Danbury, CT 06810-5629 | 2013-04-05 |
| 1336481852 | Jane Roberta Lubin | Ophthalmology | 11 Edge Hill Ln, Westport, CT 06880-3119 | 2013-03-22 |
| 1518239169 | Hany S Wahba | Ophthalmology | 11 Chestnut Ct, Cromwell, CT 06416-1714 | 2012-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.