NPIMap

Organization Active NPI

Bill M. Park

Doing business as Park Family Eye Care

  • Optometrist
  • North Aurora, IL
National Provider Identifier
1295725950
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007008 Issued in IL
Legal business name
BILL M. PARK
Doing business as
Park Family Eye Care
Practice address
9 S Lincolnway
North Aurora, IL 60542-1608
Phone
(630) 844-2500
Fax
(630) 844-2599
NPI assigned
Oct 25, 2005
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Bill M Park, ODNPI 1912902115
Title
Owner
Phone
(630) 844-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007008 IL Primary

Addresses

Primary practice location

9 S Lincolnway
North Aurora, IL 60542-1608

Mailing address

9 S Lincolnway
North Aurora, IL 60542-1608
Phone (630) 844-2500

Other names 1

  • Park Family Eye Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1096891Park Family Eye Care9 S Lincolnway, North Aurora, IL 60542Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

9 S Lincolnway
North Aurora, IL 60542
Phone (630) 844-2500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1295725950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421608",
            "telephone_number": "630-844-2500",
            "fax_number": "630-844-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421608",
            "telephone_number": "630-844-2500",
            "fax_number": "630-844-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL M. PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-844-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.