Provider Demographics
NPI:1366555633
Name:PARENTI-MORRIS EYECARE PLLC
Entity type:Organization
Organization Name:PARENTI-MORRIS EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:479-636-1960
Mailing Address - Street 1:3710 SOUTHERN HILLS BLVD STE 200
Mailing Address - Street 2:PARENTI-MORRIS EYE CARE
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8093
Mailing Address - Country:US
Mailing Address - Phone:479-636-1960
Mailing Address - Fax:479-636-8012
Practice Address - Street 1:3710 SOUTHERN HILLS BOULEVARD STE 200
Practice Address - Street 2:PARENTI MORRIS EYE CARE
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758
Practice Address - Country:US
Practice Address - Phone:479-636-1960
Practice Address - Fax:479-636-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPARENTI 2146152W00000X
ARBELL 2621152W00000X
ARMORRIS 2491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR140530722Medicaid
5F763Medicare PIN
AR6256010001Medicare NSC