Active NPI
Arris Park, OD
- Optometrist
- Camarillo, CA
National Provider Identifier
1891429676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35143
- Practice address
- 163 W Ventura Blvd Ste a
Camarillo, CA 93010-8373 - Phone
- (805) 465-1002
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35143 | CA | Primary |
Addresses
Primary practice location
163 W Ventura Blvd Ste a
Camarillo, CA 93010-8373
Mailing address
472 Via Olivera
Camarillo, CA 93012-0975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35143 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1891429676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 VIA OLIVERA",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930120975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 W VENTURA BLVD STE A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108373",
"telephone_number": "805-465-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ARRIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.