Park, Jonathan D
Park, Jonathan D is an individual health care provider with primary practice located at 7457 Las Colinas Blvd #100, Irving TX 75063-7561. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Park, Jonathan D can be contacted via phone (214) 382-3061.Contact Information
Primary practice address
7457 Las Colinas Blvd #100
Irving TX 75063-7561
Phone: (214) 382-3061
Fax: (214) 382-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 6272TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6272TG | Texas |
Profile Details
| NPI number | 1063572279 |
|---|---|
| LBN Legal business name | Park, Jonathan D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Feb 21st, 2022 - 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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