William L Park, Od, Llc

LBN: William L Park, Od, Llc
William L Park, Od, Llc is an health care organization with primary practice located at 610 N Main St Suite 201, Wichita KS 67203-3601. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is the primary health care specialty. William L Park, Od, Llc can be contacted via phone (316) 440-1690, or through Park, William L via phone (316) 440-1690.

Contact Information

Primary practice address
610 N Main St Suite 201 Wichita KS 67203-3601
Phone: (316) 440-1690
Fax: (316) 440-1695
Website:
Map and Directions
Authorized official contact:
Name: Park, William L Doctor of Optometry (OD)
Phone: (316) 440-1690

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1798 Kansas
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1798 Kansas

Profile Details

NPI number 1003071887
LBN Legal business name William L Park, Od, Llc
DBA Doing business as
Authorized official Park, William L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2008
Last updated Apr 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003071887 NPPES
Kansas Other KA1156 MEDICARE PTAN

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