Arthur Chul Park, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002804 Issued in GA

Practice address

1215 Caroline St NE Ste H100
Atlanta, GA 30307-2775

Phone

(404) 522-8886

Fax

(404) 522-8887

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1932464013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GARSON DR NE",
            "address_2": "APT 4104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243361",
            "telephone_number": "206-802-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CAROLINE ST NE STE H100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072775",
            "telephone_number": "404-522-8886",
            "fax_number": "404-522-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ARTHUR",
        "middle_name": "CHUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002161",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Paris
• Monica Elizabeth Parise, M.D.
• Park Ridge Healthcare and Physical Medicine LLC
• Allison Park
• April Kaeun Park, OTD
• Benjamin Park, MD
• Catherine Park, M.D.
• Chai Park, OTD, OTR/L
• Chong Yop Park, RPH
• David D. Park, M.D.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.