Susan K. Park O.D, P.C.

LBN: Susan K. Park O.D, P.C.
Susan K. Park O.D, P.C. is an health care organization with primary practice located at 9928 S Western Ave , Chicago IL 60643-1831. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Susan K. Park O.D, P.C. can be contacted via phone (773) 303-8279, or through Tseng, Susan K via phone (773) 303-8279.

Contact Information

Primary practice address
9928 S Western Ave Chicago IL 60643-1831
Fax:
Website:
Authorized official contact:
Name: Tseng, Susan K Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009987 Illinois

Profile Details

NPI number 1336382506
LBN Legal business name Susan K. Park O.D, P.C.
DBA Doing business as
Authorized official Tseng, Susan K Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2009
Last updated Jan 8th, 2015 - about 9 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 1336382506 NPPES
Illinois MEDICAID 046009987

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