STEVE B. PARK M.D. PC (NPI# 1326275892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326275892 |
| Entity Type | Organization |
| Organization Name | STEVE B. PARK M.D. PC |
| Other Organization Name | CORNERSTONE EYE ASSOCIATES |
| Practice Address |
485 Titus Ave Ste A Rochester NY 14617-3544 |
| Mailing Address |
2300 Buffalo Road Bldg 700 Rochester NY 14624-1367 |
| Practice Telephone | 5852667880 |
| Practice Fax Number | 5852665177 |
| Mailing Telephone | 5853280153 |
| Mailing Fax Number | 5853280158 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | STEVE B PARK (OWNER) |
| Authorized Official Telephone | 5853280153 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01093163 | 05 | |
| NY | 02364010 | 05 | |
| NY | MEDICARE ID-TYPE UNSPECIFIED | 11217A | 01 |
| NY | 00468162 | 05 | |
| NY | 01445376 | 05 | |
| NY | 01728156 | 05 | |
| NY | 00466308 | 05 |
| Other Name | Type Code |
|---|---|
| Cornerstone Eye Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245467711 | Steve B. Park M.d. PC | Eyewear Supplier (Equipment, not the service) | 160 Sawgrass Dr, Ste 220, Rochester, NY 14620-4648 | 2009-06-11 |
| 1841427358 | Steve B. Park M.d. PC | Eyewear Supplier (Equipment, not the service) | 2300 Buffalo Road, Bldg 700, Rochester, NY 14624-1367 | 2009-06-11 |
| Street Address |
485 TITUS AVE STE A |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14617-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836772 | Jeffrey A Liberman | Internal Medicine | 485 Titus Ave, Ste H, Rochester, NY 14617-3535 | 2005-07-27 |
| 1437457124 | Melissa Eagan Novak | Pediatrics | 485 Titus Ave, Suite F, Rochester, NY 14617-3535 | 2011-03-04 |
| 1124260872 | Peter R. Stahl, M.d., P.C. | Internal Medicine | 485 Titus Ave, Suite D, Rochester, NY 14617-3535 | 2009-03-26 |
| 1922279553 | Lee Mary Edwards | Pediatrics | 485 Titus Ave, Suite F, Rochester, NY 14617-3535 | 2008-03-24 |
| 1487704110 | Linda Marie Mcnaughton | Technician/Technologist | 485 Titus Ave, Suite A, Rochester, NY 14617-3535 | 2007-01-12 |
| 1508969163 | Kristen S Savage | Pediatrics | 485 Titus Ave, Ste F, Rochester, NY 14617 | 2006-09-07 |
| 1578665113 | Andrew D Holt | Pediatrics | 485 Titus Ave, Suite F, Rochester, NY 14617 | 2006-09-03 |
| 1942314513 | Douglas Bennett | Pediatrics | 485 Titus Ave, Suite F, Rochester, NY 14617-3535 | 2006-08-19 |
| 1689684821 | Kathleen Boyle-holt | Nurse Practitioner | 485 Titus Ave, Ste F, Rochester, NY 14617 | 2006-08-09 |
| 1851321855 | Larisa Khishchenko | Specialist | 485 Titus Ave, Ste H, Rochester, NY 14617-3535 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1326517608 | Matthew Richard Vandermeid | Student in an Organized Health Care Education/Training Program | 161 Sethland Dr., Rochester, NY 14617 | 2018-11-16 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1043585599 | Shannon Nichole Fridd | Speech-Language Pathologist | 350 Cooper Rd., Rochester, NY 14617 | 2012-03-16 |
| 1861777112 | Todd M Schoen | Pharmacist | 525 Titus Avenue, Rochester, NY 14617 | 2011-10-19 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1215225602 | Alberto Ramon Cebollero | Psychologist | 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 | 2011-07-19 |
| 1487893269 | Stepping Stones Learning Center | Early Intervention Provider Agency | 2111 Hudson Ave, Rochester, NY 14617 | 2009-02-18 |
| Find all providers in zip 14617 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1740633031 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2854 41st St Nw, Suite 103, Rochester, MN 55901-7825 | 2016-07-21 |
| 1588036479 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 600 Jefferson Rd, Suite 3, Rochester, NY 14623-3230 | 2015-10-30 |
| 1396139838 | Strong Optical Shop | Eyewear Supplier (Equipment, not the service) | 1317 Mount Hope Ave, Rochester, NY 14620-3923 | 2015-03-23 |
| 1538553268 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 335 Westfall Road, Rochester, NY 14620 | 2015-03-19 |
| 1962801878 | The Association for The Blind and Visually Impaired - Goodwill Industr | Eyewear Supplier (Equipment, not the service) | 500 S Clinton Ave, Rochester, NY 14620-1198 | 2014-08-15 |
| 1316271695 | Highlander Healthcare Supply Services Inc | Eyewear Supplier (Equipment, not the service) | 847 Goodman St S, Rochester, NY 14620-2523 | 2009-09-20 |
| 1700018363 | Kls Optical Inc. | Eyewear Supplier (Equipment, not the service) | 215 Elton Hills Dr Nw, #26, Rochester, MN 55901-2482 | 2009-08-17 |
| 1891982724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4611 Main Ave Se, Rochester, MN 55904-5904 | 2007-09-25 |
| Find all providers in ROCHESTER | ||||
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| 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.