Park, Theresa A
Park, Theresa A is an individual health care provider with primary practice located at 3030 Gateway Street Sears Optical, Springfield OR 97477-1027. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Park, Theresa A can be contacted via phone (541) 741-7049.Contact Information
Primary practice address
3030 Gateway Street Sears Optical
Springfield OR 97477-1027
Phone: (541) 741-7049
Fax: (541) 744-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2361T | Oregon |
Profile Details
| NPI number | 1245368430 |
|---|---|
| LBN Legal business name | Park, Theresa A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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