TONY PARK OD PLLC (NPI# 1710229604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710229604 |
| Entity Type | Organization |
| Organization Name | TONY PARK OD PLLC |
| Practice Address |
6135 Junction Blvd Costco Optometry Rego Park NY 11374-2771 |
| Practice Telephone | 7187607862 |
| Practice Fax Number | 7187607861 |
| Mailing Telephone | 7187607862 |
| Mailing Fax Number | 7187607861 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | DR. TONY PARK (OWNER) |
| Authorized Official Telephone | 5103663506 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | TUV 007776 | NY | Ambulatory Health Care Facilities |
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
6135 JUNCTION BLVD COSTCO OPTOMETRY |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376642975 | Mak Optical of New York Inc | Technician/Technologist | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2006-09-21 |
| 1033610779 | Hyde Zhuang | Pharmacy | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2018-02-27 |
| 1962958942 | Rebecca Alma-rosa Lopez | Registered Nurse | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2016-08-30 |
| 1194119420 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2015-03-25 |
| 1184017717 | Costco Wholesale Corporation | Hearing Aid Equipment | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2015-03-06 |
| 1467749630 | Provision At New York LLC | Clinic/Center | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2011-07-07 |
| 1770802910 | Costco Wholesale Corporation | Pharmacy | 6135 Junction Blvd, Rego Park, NY 11374 | 2010-05-27 |
| 1598907776 | Orobola Titilayo Sanwo | Pharmacist | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| 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 |
|---|---|---|---|---|
| 1467836551 | Family Eye Center Inc | Optometrist | 97-32 63 Rd Road, Rego Park, NY 11374 | 2015-07-17 |
| 1518358654 | Iris Vision Care Inc | Optometrist | 98 55 63rd Road, Rego Park, NY 11374 | 2015-02-11 |
| 1851707525 | Nadia Sachinski | Optometrist | 6115 97th St, Apt.11r, Rego Park, NY 11374-1247 | 2014-07-02 |
| 1801942776 | Tony Chan Park | Optometrist | 61-35 Junction Blvd, Costco Optometry, Rego Park, NY 11374-2771 | 2007-01-25 |
| 1144301425 | Sheldon Retkinski | Optometrist | 9309 63rd Dr, Rego Park, NY 11374-2924 | 2006-10-17 |
| 1700820255 | Gregory M Lopez | Optometrist | 6288 Woodhaven Blvd, Rego Park, NY 11374-3738 | 2006-06-15 |
| 1013919521 | Steven Lieberman | Optometrist | 98120 Queens Blvd, Rego Park, NY 11374-4357 | 2005-08-15 |
| 1891218889 | Karolina Uvaydova | Optometrist | 9519 63rd Dr, Rego Park, NY 11374-2024 | 2017-07-20 |
| 1427465293 | Boris Kapelnik Od P.C. | Optometrist | 9519 63rd Dr, Rego Park, NY 11374-2024 | 2014-07-14 |
| 1487067039 | Metro Vision Express LLC | Optometrist | 9519 63rd Dr, Rego Park, NY 11374-2024 | 2014-06-10 |
| Find all providers in REGO PARK | ||||
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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.