William L Park, Od, LLC

NPI #1003071887 in Wichita, Kansas

Provider Information

NPI Number: 1003071887
Entity Type: Organization
Organization Name: William L Park, Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 22, 2008
Last Updated: Apr 14, 2011

Practice Location

Address: 610 N MAIN ST
Address 2: SUITE 201
City: Wichita
State: Kansas
ZIP Code: 67203-3601
Phone: (316) 440-1690

Authorized Official

Name: DR. WILLIAM L PARK, OD
Title: MEMBER
Phone: (316) 440-1690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist	152W00000X	Primary

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