Glendale Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

12850T Issued in CA

Legal business name

GLENDALE OPTOMETRY

Practice address

232 S Brand Blvd
Glendale, CA 91204-1310

Phone

(818) 937-9102

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Allison H Park, O.D.NPI 1164524476

Title

Owner/Optometrist

Phone

(818) 937-9102

Specialties & licenses 1

Addresses

Practitioners 1

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

• Allison H. Park, O.D.

  • Optometrist
  • Glendale, CA
  • NPI 1164524476
  NPD (past) Authorized official

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1417224304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041310",
            "telephone_number": "818-937-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041310",
            "telephone_number": "818-937-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "818-937-9102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12850T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Multi-Specialty Surgery Center, LLC (Glendale Outpatient Surgery Center)
• Glendale Mutual Care Clinic
• Glendale Nephrology Services, LLC (Glendale Kidney Center)
• Glendale Ophthalmology ASC LP (Glendale Eye Surgery Center)
• Glendale Optometric Center
• Glendale Orthopaedics Inc.
• Glendale Pain Medicine Associates Inc (Tri-Valley Spine and Pain Centers)
• Glendale Pathology Associates Medical Group of Glendale
• Glendale Pediatrics, a Professional Corporation
• Glendale Pharmacy Inc (Glendale Pharmacy Specialty)

• 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 21, 2011; 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.