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DR. SUSAN E PARK MD
NPI 1184614638
Ophthalmology in South Bend, IN

Active since October 26, 2005
211 N EDDY ST, SOUTH BEND, IN 46617(574) 237-9334(574) 239-1569 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan E Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN E PARK MD (NPI 1184614638) is an individual ophthalmology provider in South Bend, Indiana, licensed in Indiana (01052506A) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1184614638
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SUSAN E PARKCredential: MD
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 237-9334 · Fax (574) 239-1569
Phone(574) 237-9334
Fax(574) 239-1569
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 3, 2016
✔ NPI 1184614638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IN · 01052506A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
211 N EDDY ST, South Bend, IN 46617
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Other Identifiers 3

Medicare UPING06270IN
Medicare ID-Type Unspecified146470OOOOIN
Medicaid200283290IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN MARIE HANNA PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 234-8161
DR. STEVEN P. CROWELL MD
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9340
JESSICA A HECKMAN R.D.
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9331
LOUIS CAVADINI DO
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9395
MS. REGINA R. JASIEWICZ FNP
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9231
DR. ERSALAN A RAHMAN M.D.
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9334
DR. SCOTT H WOLF MD
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9203
GABRIELA L TAYLOR PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Park's NPI number?

The NPI number for Susan Park is 1184614638. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Susan Park located?

Susan Park practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 237-9334.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.