Juliana Y. Park MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JULIANA Y. PARK MD PC

Practice address

3020 Hamaker CT
Suite B-103
Fairfax, VA 22031-2238

Phone

(703) 573-9688

Fax

(703) 207-9396

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Juliana Youngmin Park, M.D.NPI 1790864940

Title

President

Phone

(703) 573-9688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliana Youngmin Park, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1790864940

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1013197755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE B-103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "703-573-9688",
            "fax_number": "703-207-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE B-103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "703-573-9688",
            "fax_number": "703-207-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANA Y. PARK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "YOUNGMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-573-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sydney Judge, ED.S.
• Julia C. Stone, LMFT, PC
• Meagan Juliano
• Grace Yilan Jun, L.AC
• Hailey H Jun, FNP-C
• Woori Kay Jun, LPC
• Jung S Pak DDS PC (Fairfax Dental Care)

• Ophthalmology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.