| Organization Name: | WILLIAM L PARK, OD, LLC |
| NPI Number: | 1003071887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM L PARK (MEMBER) |
| Mailing Address: | 610 N Main St Suite 201 Wichita |
| State: | KS US |
| Postal Code: | 672033601 |
| Phone Number: | 3164401690 |
| Fax Number: | 3164401695 |
| NPI Enumeration Date: | 07/22/2008 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 1798 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |