Allison H. Park, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12850TPA Issued in CA

Practice address

3600 N Verdugo Rd Ste 104
Glendale, CA 91208-1258

Phone

(818) 937-9102

Fax

(818) 330-9611

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glendale Optometry

  • Optometrist
  • Glendale, CA
  • NPI 1417224304
  NPD (past) Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1164524476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-937-9102",
            "fax_number": "818-330-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-937-9102",
            "fax_number": "818-330-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912041310",
            "country_code": "US",
            "telephone_number": "818-937-9102",
            "fax_number": "818-937-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "ALLISON",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "12850TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12850TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Pardo
• Patrick Parehjan, D.C.
• Maria Mola Parent, PH.D
• Parisa Pourzand MD Inc
• Grace Park-Noh, PHD
• Holly Park, BCBA
• Kay Loren Park, M.D.
• Megan Michelle Park, M.A., LMFT
• Robert B Park, LVN
• Samuel Park, M.D.

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.