Nancy Park OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NANCY PARK OD, INC

Practice address

1275 Airport Park Blvd
Ukiah, CA 95482-7400

Phone

(707) 313-8019

Fax

(707) 313-8018

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Park WuNPI 1821067505

Title

President

Phone

(310) 430-0586

Specialties & licenses 1

Addresses

Other names 1

• Park Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Park Wu, O.D.

  • Optometrist
  • Ukiah, CA
  • NPI 1821067505
  Medicare reassignment Care Compare group NPD Authorized official
• Ailleen Jacob Dial, OD

  • Optometrist
  • Ukiah, CA
  • NPI 1871143883
  Medicare reassignment Care Compare group NPD
• Tu-Anh Tran Vu, OD

  • Optometrist
  • Daly City, CA
  • NPI 1831704147
  Medicare reassignment Care Compare group NPD
• Jon E Fitzpatrick, O.D.

  • Corneal and Contact Management Optometrist
  • Santa Rosa, CA
  • NPI 1356330278
  Medicare reassignment NPD
• Lavender Orr, OD

  • Optometrist
  • Burbank, CA
  • NPI 1578813598
  Medicare reassignment

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1275319485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22735 SPARROWDELL DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021818",
            "telephone_number": "310-430-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 AIRPORT PARK BLVD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954827400",
            "telephone_number": "707-313-8019",
            "fax_number": "707-313-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY PARK OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-430-0586",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Van Meter Murray, MD
• Judith Isabelle Murrillo
• Donna Myers
• Paul Nadel, MA, MFT
• Linda Bouskill Nagel
• Nancy C Nanna, LCSW
• Kate Napp
• Daniel Alan Nash, MD
• Carol Natanson
• Laura Nava

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.