Park Family Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

422 Issued in NV

Legal business name

PARK FAMILY EYECARE INC.

Practice address

5198 Boulder Hwy
Las Vegas, NV 89122-6002

Phone

(702) 434-2020

Fax

(702) 433-2021

NPI assigned

Dec 3, 2007

Last updated

May 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Park, O.D.NPI 1780808105

Title

Owner

Phone

(702) 434-2020

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Park Family Eyecare Inc.

  • Optometrist
  • Henderson, NV
  • NPI 1760120265
  NPPES parent name

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.

• Peter Park, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1780808105
  Authorized official Same address or phone

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1275715237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226002",
            "telephone_number": "702-434-2020",
            "fax_number": "702-433-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-434-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Parise
• Carina Parisey
• Peggy Parish
• Thomas Parisi, M.D.
• Park Family Eyecare 2 (Eleven Optometry)
• Park Psychiatry PLLC
• Julie S Park-Chang, O.D.
• Allen Park, PA-C
• Anne Park, FNP
• Bo Park, OTD

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.