STEVE B. PARK M.D. PC NPI 1245467711

NPI Information

NPI: 1245467711
Provider Name: STEVE B. PARK M.D. PC

Doing Business As: CORNERSTONE EYE ASSOCIATES

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
160 SAWGRASS DR
STE 220
ROCHESTER, NY
ZIP 14620
Phone: (585) 244-2200
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STEVE B. PARK M.D. PC is an eyewear supplier in Rochester, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. STEVE B. PARK M.D. PC NPI is 1245467711. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Eye Associates.

The provider's business location address is:

160 SAWGRASS DR
STE 220
ROCHESTER, NY
ZIP 14620-648
Phone: (585) 244-2200
Fax: (585) 244-3416

The provider's authorized official is Steve B Park .
The authorized official title is Owner and has the following contact phone number (585) 328-0153.

The enumeration date for this NPI number is 6/11/2009 and was last updated on 6/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier			NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U50695	MEDICARE UPIN	NEW YORK
2	01445376	MEDICAID	NEW YORK
3	01093163	MEDICAID	NEW YORK
4	11217A	OTHER	NEW YORK	MEDICARE ID-TYPE UNSPECIFIED
5	T26179	MEDICARE UPIN	NEW YORK
6	H35701	MEDICARE UPIN	NEW YORK
7	U25116	MEDICARE UPIN	NEW YORK
8	G12766	MEDICARE UPIN	NEW YORK
9	E85050	MEDICARE UPIN	NEW YORK
10	01728156	MEDICAID	NEW YORK
11	U49432	MEDICARE UPIN	NEW YORK
12	00466308	MEDICAID	NEW YORK
13	0916200002	MEDICARE NSC	NEW YORK
14	U42387	MEDICARE UPIN	NEW YORK
15	C58109	MEDICARE UPIN	NEW YORK
16	02364010	MEDICAID	NEW YORK
17	B77460	MEDICARE UPIN	NEW YORK
18	B72013	MEDICARE UPIN	NEW YORK
19	00468162	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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