Jonathan D Park, O.D.

NPI #1063572279 in Irving, Texas

Provider Information

NPI Number: 1063572279
Entity Type: Individual
Name: Jonathan D Park, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 11, 2006
Last Updated: Feb 21, 2022

Practice Location

Address: 7457 LAS COLINAS BLVD
Address 2: #100
City: Irving
State: Texas
ZIP Code: 75063-7561
Phone: (214) 382-3061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist	152W00000X	Primary

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