Jaeoh Park

Optician · Buffalo Grove, IL

Individual Active NPI

NPI number 1659974558

Practice location

436 White Pine Rd
Buffalo Grove, IL 60089-3326
Phone
(224) 433-0992

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NPI record

NPI
1659974558
Entity type
Individual (Type 1)
Enumeration date
November 21, 2020
Last updated
November 21, 2020
Certified
November 21, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 238853 IL

About Jaeoh Park

Jaeoh Park is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 436 White Pine Rd, Buffalo Grove, IL 60089-3326. The NPI number 1659974558 was assigned on November 21, 2020 and the record was last updated on November 21, 2020.

Jaeoh Park lists a license in the registry: #238853 (IL) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaeoh Park?

The NPI number is 1659974558.

What is the phone number of Jaeoh Park?

The phone number listed for the practice location is (224) 433-0992.

Where is Jaeoh Park located?

436 White Pine Rd, Buffalo Grove, IL 60089-3326.

What is the taxonomy code for Jaeoh Park?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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