NPI 1003071887

William L Park, OD, LLC

Organisation Optometrist Wichita, KS

Practice location

Address: 610 N Main St Suite 201, Wichita, KS 67203-3601
Phone: (316) 440-1690
Fax: (316) 440-1695

Authorised official

Name: William L Park
Title: Member
Phone: (316) 440-1690

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1798 (KS)

Other Optometrist providers in Kansas →

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X Licence 1798 (KS)

Registry record

NPI: 1003071887
Entity type: Organization
NPI issued: 22 Jul 2008
Record last updated: 14 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.