Active NPIIndividual provider

Helen J Park, OD

Optometrist in Annandale, New Jersey

NPI Number1497856124
Practice location
1465 State Route 31 S, Annandale, NJ 08801-3129
Fax
—
Last updated
April 19, 2009

Helen Jisoo Park is an Optometrist based in Annandale, NJ. Helen Jisoo Park practices in Annandale, NJ and has the professional credentials of OD. The NPI Number for Helen Jisoo Park is 1497856124 and holds a License No. opt 13015 t (CA). The current practice location address for Helen Jisoo Park is 1465 State Route 31 S, Annandale, NJ 08801-3129 and can be reached out via phone at 908-730-6774.

Provider Profile Details

NPI Number
1497856124
Provider Name
Helen Jisoo Park
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1465 State Route 31 S, Annandale, NJ 08801-3129
Phone Number
908-730-6774
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
-- Jisoo Park, OD (Other Name)
Provider Enumeration Date
September 26, 2006
Last Update Date
April 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1465 State Route 31 S
Annandale, NJ 08801-3129
Zip
08801-3129
Phone Number
908-730-6774
Annandale, NJ 08801Get directions →

Provider Business Mailing Address Details

Address
1465 State Route 31 S
Annandale, NJ 08801-3129
City
Annandale
State
NJ
Zip
08801-3129
Phone Number
908-730-6774

License Information

License Number (1)
opt 13015 t
License State (1)
CA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00616900
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Helen J Park, OD?

The NPI number of Helen J Park, OD is 1497856124. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Helen J Park, OD?

Helen J Park, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CA under license number opt 13015 t.

Where does Helen J Park, OD practice?

The practice location is 1465 State Route 31 S, Annandale, NJ 08801-3129. The office can be reached at 908-730-6774 (phone).

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 1497856124 directly on the NPPES registry website.

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