Individual
SO RI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF OPTOMETRY
Contact information
Practice address
1880 KENNETH RD STE 1, YORK, PA 17408-6344
(717) 767-2000
Mailing address
1703 N NEWKIRK ST, PHILADELPHIA, PA 19121-2714
(646) 460-0894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003836
PA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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