Joann Park, O.D.
Optometrist in Tysons Corner, VA. Individual provider (NPI-1).
NPI number1780965327
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1780965327
- Entity type
- Individual (NPI-1)
- Name
- Joann Park
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2011
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002483 | VA | Yes |
Practice location
8100 Boone Blvd Ste 150Tysons Corner, VA 22182-2629
Phone 703-991-2766
Mailing address
8100 Boone Blvd Ste 150Tysons Corner, VA 22182-2629
Phone 703-991-2766
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