Heidi M Park, OD

NPI #1710902721 in Elkhart, Indiana

Provider Information

NPI Number: 1710902721
Entity Type: Individual
Name: Heidi M Park, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 12, 2006
Last Updated: Feb 24, 2022

Practice Location

Address: 3701 S MAIN ST
City: Elkhart
State: Indiana
ZIP Code: 46517-3106
Phone: (574) 875-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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