Individual
DR. STEVEN J PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
395 CASCADE MALL DR, BURLINGTON, WA 98233-3255
(360) 757-7750
(360) 757-7756
Mailing address
395 CASCADE MALL DR, BURLINGTON, WA 98233-3255
(360) 757-7750
(360) 757-7756
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017720
—
WA
05
—
2019743
—
WA
01
—
8772PA
RBS
WA
Enumeration date
04/18/2007
Last updated
02/26/2020
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