- Practice location
- 1 Highland Ave # 3B, Mass Optometric Associates, P.c., Malden, MA 02148-6603
- Phone
- 781-321-9039
- Fax
- 781-321-8611
- Last updated
- October 10, 2008
Inn Jee Park is an Optometrist based in Malden, MA. Inn Jee Park practices in Malden, MA and has the professional credentials of OD. The NPI Number for Inn Jee Park is 1306000120 and holds a License No. 18003516A (IN). The current practice location address for Inn Jee Park is 1 Highland Ave # 3B, Mass Optometric Associates, P.c., Malden, MA 02148-6603 and can be reached out via phone at 781-321-9039 and via fax at 781-321-8611.
Provider Profile Details
- NPI Number
- 1306000120
- Provider Name
- Inn Jee Park
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Highland Ave # 3B, Mass Optometric Associates, P.c., Malden, MA 02148-6603
- Phone Number
- 781-321-9039
- Fax Number
- 781-321-8611
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2008
- Last Update Date
- October 10, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Highland Ave # 3B
Mass Optometric Associates, P.c.
Malden, MA 02148-6603 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-6603
- Phone Number
- 781-321-9039
- Fax Number
- 781-321-8611
Provider Business Mailing Address Details
- Address
- 2921 Erie Blvd E
Mass Optometric Associates, P.c.
Syracuse, NY 13224-1430 - City
- Syracuse
- State
- NY
- Zip
- 13224-1430
- Phone Number
- 315-446-3145
- Fax Number
- 315-445-7675
License Information
- License Number (1)
- 18003516A
- License State (1)
- IN
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 4686
- License State (2)
- MA
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
- License Number (3)
- 0819
- License State (3)
- NH
- Taxonomy (3)
- Optometrist · 152W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Malden, MA
View all Optometrists in Malden →Frequently Asked Questions
What is the NPI number of Inn J Park, OD?
The NPI number of Inn J Park, OD is 1306000120. It was assigned on July 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Inn J Park, OD?
Inn J Park, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in IN under license number 18003516A.
Where does Inn J Park, OD practice?
The practice location is 1 Highland Ave # 3B, Mass Optometric Associates, P.c., Malden, MA 02148-6603. The office can be reached at 781-321-9039 (phone) or 781-321-8611 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306000120 directly on the NPPES registry website.