Heidi M Park is a Elkhart, Indiana based female Optometrist with 18 years of experience in Optometry. She completed her graduation from Other in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Heidi M Park is 18003405 A for Optometry in Indiana. Heidi M Park examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Heidi M Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
18+ years
Medical School Attended:
Other
Graduation Year:
2006
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3701 S Main St, Elkhart, Indiana, 46517-3106
Phone:
574-875-8511
Fax:
574-875-8763
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1658478102
Enrollment ID:
I20070518000124
NPI Number:
1710902721
NPI Enumeration Date:
12 Jul, 2006
NPI Last Update On:
24 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heidi M Park are as mentioned below.
License Number
Specialization
State
Status
18003405 A
Optometry
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Heidi M Park has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Myeyedr Optometry Of Indiana Llc (5496091316)
77
Other Medical Identifiers:
Other legacy medical identifiers associated with Heidi M Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
180003405A
Other
Indiana
OPTOMETRIC LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1950 Old Gallows Rd Ste 520, Vienna, Virginia
Zip:
22182-3970
Phone Number:
--
Fax Number:
--
Patients can reach Heidi M Park at 3701 S Main St, Elkhart, Indiana or can call to book an appointment on 574-875-8511. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.