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

Jung Park

Individual provider Optician · NPI 1417302621

Jung Park is an Optician in South Richmond Hill, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

11112 Atlantic Ave
South Richmond Hill, NY 11419-1158
Phone: (718) 846-0824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 007311 (NY)

Record details

NPI number1417302621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESApril 26, 2016

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