DR. MICHAEL ADAM PARK


Address: 1801 N 3rd St, Coeur D Alene, ID 83814-3400
Phone: 2086671591

DR. MICHAEL ADAM PARK (NPI# 1225489347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225489347
Entity Type Individual
Full Name DR. MICHAEL ADAM PARK
Credential O.D.
Practice Address 1801 N 3rd St
Coeur D Alene
ID 83814-3400
Practice Telephone 2086671591
Mailing Telephone 2086671591
Enumeration Date 2016-06-30
Last Update Date 2016-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist OD 60664944 WA Eye and Vision Services Providers
Y 152W00000X Optometrist ODP-100364 ID Eye and Vision Services Providers

Other Providers MICHAEL PARK

NPI Name Taxonomy Address Enumeration
1902393390 Michael Sehyun Park Pharmacist 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 2018-04-20
1932289030 Michael Kwansup Park Physical Medicine & Rehabilitation 1940 Webster St, 2nd Floor, Oakland, CA 94612-2920 2006-10-16
1942229505 Michael K Park Family Medicine 3445 Woody Crk, Evergreen, CO 80439-7996 2006-07-18
1730135641 Michael David Park Dentist 1200 N Vermont Ave, Suite B, Los Angeles, CA 90029-1760 2006-05-25
1942204680 Michael Park Allergy & Immunology 430 W Centre Ave, Portage, MI 49024-5304 2005-06-10
1013514777 Michael Park Case Manager/Care Coordinator 515 Columbia Ave Ste 200, Los Angeles, CA 90017-1209 2020-10-06
1457906257 Michael Y Park Dentist 12793 Laurel Bowie Rd, Laurel, MD 20708-2606 2019-08-08
1831611177 Michael Park Student in an Organized Health Care Education/Training Program 350 Engle St, Englewood, NJ 07631-1808 2017-07-07
1194270231 Michael H Park Dentist 330 W 58th St, Apt 9p, New York, NY 10019-1827 2016-08-18
1912353061 Michael Park Counselor 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 2016-05-09

Office Location

Street Address 1801 N 3RD ST
City COEUR D ALENE
State ID
Zip Code 83814-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700882164 Roger J. Roth Dentist 1801 N 3rd St, Coeur D Alene, ID 83814-3400 2005-06-21
1265484604 Robert John Johnson Optometrist 1801 N 3rd St, Coeur D Alene, ID 83814-3400 2006-05-16
1891775151 Lance William Fagan Optometrist 1801 N 3rd St, Coeur D Alene, ID 83814-3400 2006-01-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
Find all providers in zip 83814

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558659375 Lindsay Jean Hamlin Optometrist 3879 N Schreiber Way, Coeur D Alene, ID 83815-8362 2011-07-13
1184854408 Lisa L Robinson Od PC Optometrist 409 W Neider Ave Ste C, Coeur D Alene, ID 83815-9423 2009-07-21
1386856284 Kootenai Vision, Pllc Optometrist 1801 N Third St, Coeur D Alene, ID 83814 2007-05-04
1598881351 Coeur Dalene Vision Source Optometrist 850 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-4903 2007-03-22
1417082660 Lisa L Robinson Optometrist 409 W Neider Ave, Ste C, Coeur D Alene, ID 83815-9423 2007-02-21
1104934686 Roy Lavern Clapper Optometrist 355 E Neider Ave, Coeur D Alene, ID 83815-3723 2006-08-26
1285624601 John L Calderwood Optometrist 312 N 4th St, Coeur D Alene, ID 83814-2812 2005-10-26
1710972450 Wayne D Ellenbecker Optometrist 1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2679 2005-09-19
1427688431 Key Vision Services, P.C. Optometrist 355 E Neider Ave, Coeur D Alene, ID 83815-3723 2020-01-17
1598319337 Haley Vision Center, Pllc Optometrist 217 W Ironwood Dr, Coeur D Alene, ID 83814-2651 2019-07-30
Find all providers in COEUR D ALENE

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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