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DR. JERRY B PARK OP
NPI 1235254095
Optometrist in Jacksonville, AR

Active since March 20, 2007
291 NORTH FIRST STREET, JACKSONVILLE, AR 72076(501) 982-1100(501) 982-0323 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry B Park Op NPPES

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

DR. JERRY B PARK OP (NPI 1235254095) is an individual optometrist in Jacksonville, Arkansas, licensed in Arkansas (OP1100081) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235254095
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY B PARKCredential: OP
Location Address291 NORTH FIRST STREETJacksonville, AR 72076
Mailing Address291 North First StreetJacksonville, AR 72076 · (501) 982-1100 · Fax (501) 982-0323
Phone(501) 982-1100
Fax(501) 982-0323
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235254095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · OP1100081
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
291 NORTH FIRST STREET, Jacksonville, AR 72076
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Other Identifiers 2

Medicare ID-Type Unspecified48029
Medicare UPINT20155

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 Jerry Park's NPI number?

The NPI number for Jerry Park is 1235254095. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jerry Park located?

Jerry Park practices at 291 North First Street, Jacksonville, AR 72076. The listed phone number is (501) 982-1100.

What is Jerry Park's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jerry Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.