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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI M PARK, OD

Active

HEIDI M PARK, OD is a Optometrist healthcare provider located in ELKHART, Indiana. NPI 1710902721 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ELKHART, IN

Registration Details

NPI Number
1710902721
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2006 (19.908824252102 yrs)
Last Updated
Feb 24, 2022
License
18003405 A (IN)

Practice Information

Address
3701 S MAIN ST
ELKHART, IN, 465173106
Browse IN providers · Browse ZIP 46517
Phone
5748758511
Fax
5748758763
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ELKHART, IN

Name Credential NPI
JENNIFER HOUSEKNECHT OD 1164472734
DR. AMY H LAYMAN OD 1215965454
CHERYL DIANE LOMAN O.D. 1235168535
KEVIN H EGAN OD 1902837339
DR. MICHAEL B GURAL OD 1326064981
JAN MICHAEL BOEHRINGER OD 1841211844
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.