Heidi M Park (NPI# 1710902721, PAC ID# 1658478102) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1710902721 |
| PAC ID by PECOS | 1658478102 |
| Professional Enrollment ID | I20070518000124 |
| Full Name | Heidi M Park |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Address |
3701 S Main St Elkhart IN 46517-3106 |
| Phone Number | 5748758511 |
| Gender | F |
| Credential | OD |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5496091316 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3701 S Main St, Elkhart, IN 46517-3106 | 5748758511 | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Mangiaracina | Optometry | Myeyedr Optometry of Indiana LLC | 279 W 80th Pl, Merrillville, IN 46410-5491 |
| Miklos Balogh | Optometry | Myeyedr Optometry of Indiana LLC | 1525 Us Hwy 41, Schererville, IN 46375-1353 |
| Nathaniel Clark | Optometry | Myeyedr Optometry of Indiana LLC | 105 S Raceway Rd, Suite 100, Indianapolis, IN 46231-1415 |
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Paula J Gring | Optometry | Myeyedr Optometry of Indiana LLC | 422 Perry St, La Porte, IN 46350-3200 |
| Amy Elizabeth Iddins | Optometry | Myeyedr Optometry of Indiana LLC | 14555 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033-7234 |
| Hannah Cater | Optometry | Myeyedr Optometry of Indiana LLC | 7840 E 96th St, Fishers, IN 46037-9629 |
| Matthew R Gifford | Optometry | Myeyedr Optometry of Indiana LLC | 5111 N Main St, Suite 200, Mishawaka, IN 46545-9039 |
| Trevor Scott Keck | Optometry | Myeyedr Optometry of Indiana LLC | 357 W Morgan St C, Spencer, IN 47460-1255 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Street Address |
3701 S MAIN ST |
| City | ELKHART |
| State | IN |
| Zip | 46517-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Marshall Ballard | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Mary A Masters | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Robert Naylor | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Jennifer Lynne Houseknecht | Optometry | City Optical Co Inc | 3701 S Main St, Dr Tavel Family Eye Care, Elkhart, IN 46517-3106 |
| Alan R Price | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Taccheri | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Ken R Yoder | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Lori N Gibson | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Luke Lefever | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Robin Marie Ebright Zehr | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Jeffrey L Kauffman | Nurse Practitioner | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Daniel L. Kinsey | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Kenya M Kidder | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Douglas L Jarvis | Psychiatry | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Angela M Welling | Clinical Social Worker | Oaklawn Psychiatric Center Inc | 2600 Oakland Ave, Elkhart, IN 46517-1533 |
| Find all physicians in zip 46517 | |||
| City | ELKHART |
| Zip Code | 46517 |
| Specialty | OPTOMETRY |
| City + Specialty | ELKHART + OPTOMETRY |
Please comment or provide details below to improve the information on Heidi M Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.