Individual ProviderAlexander ParkStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressTtuhsc Department Of Ophthalmology And Visual Sciences, 3601 4th Street, Ms 7217, Room 2a100, Lubbock, TX 79430(806) 743-2020PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1447008644Provider TypeIndividualFull NamePark, AlexanderCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/11/2024Last Updated1/16/2025Contact InformationPractice LocationPractice AddressTtuhsc Department Of Ophthalmology And Visual Sciences, 3601 4th Street, Ms 7217, Room 2a100, Lubbock, TX 79430Phone(806) 743-2020FaxUnlisted FaxMailing LocationMailing AddressTtuhsc Department Of Ophthalmology And Visual Sciences, 3601 4th Street, Ms 7217, Room 2a100, Lubbock, TX 79430PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode207W00000XDescriptionOphthalmologyAllopathic & Osteopathic PhysiciansLicenseBP10090147TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10090147Texas