Dr L Brendt Park Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR L BRENDT PARK INC

Practice address

4820 N Road 68
Pasco, WA 99301-9009

Phone

(509) 543-7953

Fax

(509) 543-7955

NPI assigned

Jun 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorin B Park, O.D.NPI 1144253030

Title

President

Phone

(509) 542-1151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorin B Park, O.D.

  • Optometrist
  • Pasco, WA
  • NPI 1144253030
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1154367795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 MATIA LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993017888",
            "telephone_number": "509-542-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 N ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019009",
            "telephone_number": "509-543-7953",
            "fax_number": "509-543-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR L BRENDT PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-542-1151",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Dorta, MD
• Angie Dover
• Downtown Dental on 4TH LLC
• Donna Doyle, RPH
• Dr Drywahl PLLC
• Dr Mileski DDS IV PLLC
• Dr Spencer E Greer DDS PLLC (Mid Columbia Dental Pasco)
• Sean P Draney, PA-C
• Kenneth Lee Drewel Jr., DDS
• Ryan Paul Duarte, M.A., PA-C

• Optometrist in Pasco, WA
• Providers in Pasco, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.