Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaeoh Park

Individual provider Optician · NPI 1659974558

Jaeoh Park is an Optician in Buffalo Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

436 White Pine Rd
Buffalo Grove, IL 60089-3326
Phone: (224) 433-0992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 238853 (IL)

Record details

NPI number1659974558
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2020
Last updated in NPPESNovember 21, 2020
Certification dateNovember 21, 2020
Mailing address436 White Pine Rd, Buffalo Grove, IL 60089-3326

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