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

Travis Park, OD

Individual provider Optometrist · NPI 1689830275

Travis Park, OD is an Optometrist in Chicago, Illinois. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1756 W Division St
Chicago, IL 60622-7585
Phone: (773) 489-4848
Fax: (773) 489-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010179 (IL)
Optometrist Taxonomy 152W00000X · Licence 13586 (CA)

Record details

NPI number1689830275
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 3, 2008
Last updated in NPPESApril 19, 2012
Mailing address1756 W Division St, Chicago, IL 60622-7585

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