William L Park, Od, Llc

NPI 1003071887 - Optometrist - 152WL0500X

NPI Details
NPI 1003071887
Enumeration Date 07/22/2008
Last Updated 04/14/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM L WILLIAM
Position MEMBER
Phone (316) 440-1690
Fax (316) 440-1695
Practice Location
610 N MAIN ST
SUITE 201
WICHITA KS, 67203-3601, US
Phone (316) 440-1690
Fax (316) 440-1695
Business Location
610 N MAIN ST
SUITE 201
WICHITA KS, 67203-3601, US
Phone (316) 440-1690
Fax (316) 440-1695
Toxanomy
Taxonomy Code 152WL0500X
License State Kansas
License Number 1798
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According to our database, William L Park, Od, Llc NPI is 1003071887, taxonomy code is 152WL0500X and license number is 1798, license state is located at Kansas. William L Park, Od, Llc physically located at 610 N Main St, Wichita KS, 67203-3601. NPI Number 1033115704 has the healthcare provider type.

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1003071887 NPI number is provided on an as is basis without warranty of any kind. 1003071887 is maintained by the National Plan & Provider Enumeration System. The contents of William L Park, Od, Llc are for informational purposes only.