Helen Jisoo Park, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00616900 Issued in NJ

Practice address

1465 State Route 31 S
Annandale, NJ 08801-3129

Phone

(908) 730-6774

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Milauskas Eye Institute Medical Group II Inc

  • Ophthalmology Physician
  • Rancho Mirage, CA
  • NPI 1235210584
  NPD (past) OPTOMETRIST
• Milauskas Eye Institute Medical Group II Inc

  • Ophthalmology Physician
  • La Quinta, CA
  • NPI 1295803153
  NPD (past) OPTOMETRIST

• Jisoo Park Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2009.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1497856124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 STATE ROUTE 31 S",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013129",
            "telephone_number": "908-730-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 STATE ROUTE 31 S",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013129",
            "telephone_number": "908-730-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HELEN",
        "middle_name": "JISOO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13015 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00616900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JISOO",
            "last_name": "PARK",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Hunterdon Voorhees Regional High School District
• Danielle Marie Nugent
• Kathleen Orf, PT
• Melissa Ozoria
• Dipakkumar Pravinchandra Pandya, M.D.
• Bharatkumar R Patel, M.D
• Manisha Patel
• Milan Patel, D.M.D.
• Pediatric Dental Associates of Clinton, P.a.
• Portum Behavioral Health

• All providers in Annandale, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.