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Organization
TRACY TOM PARK, O.D.
Active
Organization
TRACY TOM PARK, O.D.
Active
Other names
Pacific Optometry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY TOM PARK OD (OWNER)
(714) 590-2020
Entity
Organization
Contact information
Practice address
12302 GARDEN GROVE BLVD STE 6, GARDEN GROVE, CA 92843-1802
(808) 222-6218
(714) 590-2044
Mailing address
12302 GARDEN GROVE BLVD STE 6, GARDEN GROVE, CA 92843-1802
(808) 222-6218
(714) 590-2044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14009
CA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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