| Dr Lena G Park, OD | |
|
9 S Lincolnway, North Aurora, IL 60542-1608 | |
| (630) 844-2500 | |
| (630) 844-2599 |
| Full Name | Dr Lena G Park |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 9 S Lincolnway, North Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275568073 | NPI | - | NPPES |
| K28764 | Other | IL | MEDICARE PROVIDER NUMBER |
| 4584027 | Other | IL | BCBS PIN |
| 11683632 | Other | IL | CAQH PIN |
| 363187524 | Other | IL | AETNA |
| 363187524 | Other | IL | CIGNA |
| 363187524 | Other | IL | PHCS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009865 (Illinois) | Primary |
| Provider Name | Bill M Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912902115 PECOS PAC ID: 9830151018 Enrollment ID: I20070503000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lena G Park, OD 9 S Lincolnway, North Aurora, IL 60542-1608 Ph: (630) 844-2500 | Dr Lena G Park, OD 9 S Lincolnway, North Aurora, IL 60542-1608 Ph: (630) 844-2500 |
Bill M. Park Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 S Lincolnway, North Aurora, IL 60542 Phone: 630-844-2500 Fax: 630-844-2599 | |
Dr. Bill M Park, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 9 S Lincolnway, North Aurora, IL 60542 Phone: 638-844-2500 Fax: 630-844-2599 |