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DR. DERRALL SHAWN PARKER M.D. NPI 1700850500


NPI Information

NPI: 1700850500
Provider Name: DR. DERRALL SHAWN PARKER, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: EYE CARE SPECIALISTS LLC

PECOS Registration: Yes

Address:
360 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 335-3577
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DR. Derrall Shawn Parker, M.D. is an ophthalmology in Cape Girardeau, MO with 31 years of experience. The provider is 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. DR. Derrall Shawn Parker, M.D. NPI is 1700850500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

360 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703-920
Phone: (573) 335-3577
Fax: (573) 335-1559

The NPI 1700850500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 2/16/2006 and was last updated on 7/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology036-101500MISSOURINo
2207W00000XOphthalmologyKY30522KENTUCKYNo
3207W00000XOphthalmologyMD116562MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11238355OTHERMISSOURIFIRST HEALTH 43.1804777
25971604OTHERKENTUCKYAETNA 61.1257991
364012115MEDICAIDKENTUCKY
4180035389OTHERKENTUCKYRAILROAD CARE 43.1804777
5P00288000MEDICARE ID-TYPE UNSPECIFIEDILLINOISTAX ID 43.1804777
6180042674OTHERKENTUCKYRAILROAD CARE 61.1257991
7393192OTHERKENTUCKYHEALTHLINK 61.1257991
8G48960OTHERKENTUCKYBLUEGRASS FAM 61.1257991
9001013030MEDICARE ID-TYPE UNSPECIFIEDMISSOURITAX ID 43.1804777
10115309OTHERMISSOURIBC BS MO 43.1804777
11000000112968OTHERKENTUCKYBC BS TAX ID 61.1257991
12P00288000OTHERILLINOISRAILROAD CARE 43.1804777
130576802MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYTAX ID 43.1804777
14205249600MEDICAIDMISSOURI
15K22521MEDICARE PINILLINOIS
161173104MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYTAX ID 61.1257991
17180035388OTHERMISSOURIRAILROAD CARE 43.1804777
18393192OTHERMISSOURIHEALTHLINK 43.1804777
19G48960MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.