Mark C. Park, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

11381T Issued in CA

Practice address

6345 Balboa Blvd
Building 3, Suite 250
Encino, CA 91316-1519

Phone

(818) 344-3937

Fax

(818) 344-1229

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gary L Etting OD an Optometric Corp

  • Optometrist
  • Encino, CA
  • NPI 1306950829
  NPD (past)
• Joseph & Nace Optometric Corporation

  • Vision Therapy Optometrist
  • Encino, CA
  • NPI 1144994104
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720049034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 ILONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642312",
            "telephone_number": "310-470-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "BUILDING 3, SUITE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519",
            "telephone_number": "818-344-3937",
            "fax_number": "818-344-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MARK",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11381T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11381T",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11381T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaly Paredes-Sanchez
• Claro Acio Paredes, MA
• Nirali Parikh, DPT
• Arnold Zorel Paritzky, MD
• Elena Park
• Christian Parker
• Toni Feld Parker, PH.D
• Daniel Parnell, M.D.
• Marine Paronyan, MA BCBA
• Jessica Ann Parr, BCBA

• Corneal and Contact Management Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.