Park, Steven J

Park, Steven J is an sole proprietor health care provider with primary practice located at 395 Cascade Mall Dr , Burlington WA 98233-3255. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Park, Steven J can be contacted via phone (360) 757-7750.

Contact Information

Primary practice address
395 Cascade Mall Dr Burlington WA 98233-3255
Phone: (360) 757-7750
Fax: (360) 757-7756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1983 Washington

Profile Details

NPI number 1730306374
LBN Legal business name Park, Steven J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730306374 NPPES
Washington MEDICAID 1017720
Washington MEDICAID 2019743
Washington Other 8772PA

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