MEDICARE: DR. LENA G PARK O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046009865	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K28764	OTHER	IL	MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4584027	OTHER	IL	BCBS PIN
3	11683632	OTHER	IL	CAQH PIN
4	363187524	OTHER	IL	AETNA
5	363187524	OTHER	IL	CIGNA
6	363187524	OTHER	IL	PHCS PIN

General Provider Information

NPI Number	:	1275568073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENA G PARK O.D.

Provider Business Mailing Address
First Line	:	9 S LINCOLNWAY
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1608
Country	:	US
Telephone Number	:	630-844-2500
Fax Number	:	630-844-2599

Provider Business Practice Location Address
First Line	:	9 S LINCOLNWAY
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1608
Country	:	US
Telephone Number	:	630-844-2500
Fax Number	:	630-844-2599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/25/2008

Similar Medicare Providers

1649411018 — 152W00000X - OPTOMETRIST NORTH PHOENIX EYE CARE
Practice Location Address:

19401 N CAVE CREEK RD , #7
PHOENIX, AZ
85024-1801

Practice Phone: 623-229-8185
Practice Fax:

1912902115 — DR. BILL M PARK O.D.
Practice Location Address:

9 S LINCOLNWAY
NORTH AURORA, IL
60542-1608

Practice Phone: 638-844-2500
Practice Fax: 630-844-2599

1295725950 — BILL M. PARK
Practice Location Address:

9 S LINCOLNWAY
NORTH AURORA, IL
60542-1608

Practice Phone: 630-844-2500
Practice Fax: 630-844-2599

1194031484 — DR. JEFFREY LIONEL HARRIS O.D.
Practice Location Address:

9 S LINCOLNWAY
NORTH AURORA, IL
60542-1608

Practice Phone: 630-844-2500
Practice Fax: 630-844-2500

1285821330 — ADRIAN B RAVITZ CO
Practice Location Address:

12540 OAKS NORTH DR , SUITE B3
SAN DIEGO, CA
92128-1608

Practice Phone: 858-943-1691
Practice Fax:

1134384282 — E.C. CARE, MEDICAL TRANSPORTATION,INC.
Practice Location Address:

1608 77TH ST
NORTH BERGEN, NJ
07047-4069

Practice Phone: 201-624-1761
Practice Fax:

Directions to “ DR. LENA G PARK O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.