DR. Theresa A Park, OD

NPI #1245368430 in Springfield, Oregon

Provider Information

NPI Number
1245368430
Entity Type
Individual
Name
DR. Theresa A Park, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Mar 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3030 GATEWAY STREET
Address 2
SEARS OPTICAL
State
Oregon
ZIP Code
97477-1027
Phone
(541) 741-7049

Specialties & Taxonomy Codes

Specialty
Optometrist

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