Organization
STEVE B. PARK M.D. PC
Active
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
2300 BUFFALO ROAD, BLDG 700, ROCHESTER, NY 14624-1367
(585) 328-0153
(585) 328-0158
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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