Dr. Peter Hyun Pak
Optometrist
11200 Lakeline Mall Dr
Cedar Park
, Texas 78613-1501
Dr. Peter Hyun Pak
Optometrist
11200 Lakeline Mall Dr
Cedar Park
, Texas 78613-1501
(512) 698-8112
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Peter Hyun Pak
- 8902 Ampezo Trl
- Austin, TX
- Zip : 78749-4960
- Phone : (512) 698-8112
Second Address
- Dr. Peter Hyun Pak
- 11200 Lakeline Mall Dr
- Cedar Park, TX
- Zip : 78613-1501
- Phone : (512) 698-8112
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7379T | TX |
National Provider Identifier
| NPI | 1013145036 |
|---|---|
| Provider Name | Dr. Peter Hyun Pak |
| First Address | Austin, TX 78749-4960 |
| Second Address | Cedar Park, TX 78613-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2009 |
| Last Update Date | 29/06/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.