DR. JERRY B PARK OP NPI 1235254095

NPI Information

  • NPI: 1235254095
  • Provider Name: DR. JERRY B PARK, OP
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 291 NORTH FIRST STREET
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 982-1100

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NPI Details

DR. Jerry B Park, OP is an optometrist in Jacksonville, AR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Jerry B Park, OP NPI is 1235254095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

291 NORTH FIRST STREET
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-1100
Fax: (501) 982-0323

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

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
1152W00000XOptometristOP1100081ARKANSASYes

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
148029MEDICARE ID-TYPE UNSPECIFIED
2T20155MEDICARE UPIN

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: 11/21/2025

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