Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAEOH PARK
Active Sole ProprietorJAEOH PARK is a Optician, Dispensing healthcare provider located in BUFFALO GROVE, Illinois. NPI 1659974558 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BUFFALO GROVE, IL
Registration Details
- NPI Number
- 1659974558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2020 (5.7396919289925 yrs)
- Last Updated
- Nov 21, 2020
- License
-
238853 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
436 WHITE PINE RDBUFFALO GROVE, IL, 600893326Browse IL providers · Browse ZIP 60089
- Phone
- 2244330992
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.