JESSICA PARK (NPI# 1487197885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487197885 |
| Entity Type | Individual |
| Full Name | JESSICA PARK |
| Credential | O.D. |
| Practice Address |
7700 W Arrowhead Towne Ctr Suite 1136 Glendale AZ 85308-8616 |
| Mailing Address |
220 N Mckemy Ave Chandler AZ 85226-2654 |
| Practice Telephone | 6239799830 |
| Practice Fax Number | 6024164657 |
| Mailing Telephone | 4809611865 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2153 | AZ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481617 | Jessica Jin Hee Park | Pharmacist | 12105 Falcon Crest Way, Porter Ranch, CA 91326-3896 | 2014-10-06 |
| 1942808837 | Jessica Elizabeth Park | Counselor | 3402 Washington Rd Ste 304, Mc Murray, PA 15317-2964 | 2020-10-13 |
| 1902422488 | Jessica Park | Social Worker | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2020-06-22 |
| 1184244113 | Jessica Hyunji Park | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-20 |
| 1790258184 | Jessica Park | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2019-01-08 |
| 1235620428 | Jessica Erin Park | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1033581905 | Jessica Park | Pharmacist | 1833 N Milpitas Blvd, Milpitas, CA 95035-2734 | 2015-10-30 |
| 1285010603 | Jessica Park | Pharmacist | 6432 Losee Rd, North Las Vegas, NV 89086-0100 | 2015-08-07 |
| 1750676292 | Jessica L. Park | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2011-06-13 |
| 1851568380 | Jessica G. Park | Physician Assistant | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2008-05-14 |
| Street Address |
7700 W ARROWHEAD TOWNE CTR SUITE 1136 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992868889 | Donald Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2006-12-19 |
| 1932751534 | Raul Ochoa | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2019-07-12 |
| 1669828943 | Nationwide Vision Center, LLC | Technician/Technologist | 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616 | 2016-05-05 |
| 1003286311 | Margarita Alicia Coca | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2015-09-29 |
| 1952703928 | Christopher Athari | Dentist | 7700 W Arrowhead Towne Ctr, Suite 2268, Glendale, AZ 85308-8616 | 2014-09-22 |
| 1801159801 | Robert B Sun | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2012-06-25 |
| 1134482185 | Liah R Na | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2012-06-24 |
| 1275770489 | Tom Sowash Od & Associates, PC | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2009-01-09 |
| 1215180658 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 7700 W Arrowhead Towne Ctr, Ste 2130, Glendale, AZ 85308-8616 | 2008-10-29 |
| 1851574842 | Nevzat Caliskanalp | Optometrist | 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308-8616 | 2007-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
| 1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
| 1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
| 1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
| 1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
| 1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
| 1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
| 1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
| 1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
| Find all providers in GLENDALE | ||||
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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.