Organization
STEVE B. PARK M.D. PC
Active
Other names
Cornerstone Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE B PARK M.D. (OWNER)
(585) 328-0153
Entity
Organization
Contact information
Practice address
160 SAWGRASS DR, STE 220, ROCHESTER, NY 14620-4648
(585) 244-2200
(585) 244-3416
Mailing address
2300 BUFFALO ROAD, BLDG 700, ROCHESTER, NY 14624-1367
(585) 328-0153
(585) 328-0158
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00466308
—
NY
05
—
00468162
—
NY
05
—
01093163
—
NY
05
—
01445376
—
NY
05
—
01728156
—
NY
05
—
02364010
—
NY
01
—
11217A
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
06/11/2009
Last updated
06/18/2009
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