DR. STANLEY S PARK MD NPI 1730421983

NPI Information

NPI: 1730421983
Provider Name: DR. STANLEY S PARK, MD
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6060
Get Directions

DR. Stanley S Park, MD is a retina specialist ophthalmology in Oklahoma City, OK with 11 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Stanley S Park, MD NPI is 1730421983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104-014
Phone: (405) 271-6060
Fax: (405) 271-1926

The NPI 1730421983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 12/17/2021.

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	207W00000X	Ophthalmology		57.023658	OHIO	No
2	207W00000X	Ophthalmology		33895	OKLAHOMA	No
3	207W00000X	Ophthalmology		ME131171	FLORIDA	No
4	207WX0107X	Ophthalmology	Retina Specialist	33895	OKLAHOMA	Yes

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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