Susan E Park is a Ophthalmology in South Bend, Indiana. Susan E Park practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Susan E Park is 1184614638. The last update date is 2016-08-03.
Susan E Park's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742379334 and fax number 5742391569. The mailing address for Susan E Park is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan E Park |
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Address | 211 N Eddy St, South Bend, Indiana |
Phone Number | 5742379334 |
Fax Number | 5742391569 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1184614638 |
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Provider Enumeration Date | 2005-10-26 |
Last Updated Date | 2016-08-03 |
Provider Mailing Address Detail
Address | 211 N Eddy St |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466172808 |
Phone Number | 5742379334 |
Fax Number | 5742391569 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 01052506A |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200283290 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan E Park by the Centers for Medicare & Medicaid Services (CMS)?
The Susan E Park has been assigned the NPI (National Provider Identifier) 1184614638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the area of specialization for Susan E Park, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan E Park is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
When was the Susan E Park's 1184614638 issued?
The Susan E Park's 1184614638 was issued on 2005-10-26.
When was the Susan E Park's information last updated?
The Susan E Park's information was last updated on 2016-08-03.
When was the information pertaining to Susan E Park most recently updated or revised?
The details related to Susan E Park, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-03.