DR. STEVEN J PARK (NPI# 1730306374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730306374 |
| Entity Type | Individual |
| Full Name | DR. STEVEN J PARK |
| Credential | O.D. |
| Practice Address |
395 Cascade Mall Dr Burlington WA 98233-3255 |
| Practice Telephone | 3607577750 |
| Practice Fax Number | 3607577756 |
| Mailing Telephone | 3607577750 |
| Mailing Fax Number | 3607577756 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1983 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1017720 | 05 | |
| WA | RBS | 8772PA | 01 |
| WA | 2019743 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17500 Se 392nd St, Auburn, WA 980929705 | 2539396648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649392945 | Steven Yong Park | Dentist | 3246 W Sepulveda Blvd # 105, Torrance, CA 90505-2774 | 2007-04-06 |
| 1962477042 | Steven Young Park | Otolaryngology | 3400 Bainbridge Ave # Map3, Bronx, NY 10467-2404 | 2006-02-22 |
| 1396300323 | Steven Park | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-06 |
| 1629447925 | Steven Yeong-soo Park | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2015-09-17 |
| 1538572680 | Steven Park | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2014-06-06 |
| 1891707709 | Steven Park | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2006-08-12 |
| 1033144928 | Steven T Park | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-11 |
| 1457385817 | Steven Earl Park | Surgery | 10506 Montgomery Road, Suite 302, Cincinnati, OH 45242 | 2006-07-10 |
| 1720049927 | Steven L Park | Nurse Anesthetist, Certified Registered | 407 S White St, N/a, Mount Pleasant, IA 52641-2262 | 2006-03-29 |
| 1104897495 | Steven K. Park | Internal Medicine | 1011 Baldwin Park Blvd, Hospitalist Office, Baldwin Park, CA 91706-5806 | 2006-01-27 |
| Street Address |
395 CASCADE MALL DR |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131881 | Paris Miki, Inc | Technician/Technologist | 395 Cascade Mall Dr, Burlington, WA 98233-3255 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639314206 | Vision Clinic Inc | Optometrist | 4008 Lovell Rd, Wenatchee, WA 98801 | 2008-12-10 |
| 1689857690 | Mayemura, Inc. | Optometrist | 9610 Evergreen Way, Ste. A, Everett, WA 98204-7102 | 2007-12-12 |
| 1023221132 | Cindy Hung | Optometrist | 407 Baker Blvd, Tukwila, WA 98188-2906 | 2007-05-07 |
| 1316164965 | Scott David Hansen Od PC | Optometrist | 12120 E Mission Ave Ste 2, Spokane Valley, WA 99206-5378 | 2007-04-18 |
| 1689898777 | Eyecare Partners, Pllc | Optometrist | 126 E Second Street, North Bend, WA 98045 | 2007-04-12 |
| 1831212851 | John A Harden | Optometrist | 16821 Smokey Point Blvd # 314, Arlington, WA 98223-8407 | 2007-04-06 |
| 1811023732 | Longview Eye & Vision | Optometrist | 180 3rd Street, Cathlamet, WA 98612 | 2007-02-26 |
| 1245365519 | Joseph Wallace Braun | Optometrist | 4750 N Division St Ste 126, Northtown Vision Clinic, Spokane, WA 99207-1406 | 2007-02-23 |
| 1114078235 | Jaclyn T Phan | Optometrist | 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 | 2007-01-16 |
| 1396807947 | Lisa Ann Depietto | Optometrist | 15118 Main St, Suite 600, Mill Creek, WA 98012-1653 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
Please comment or provide details below to improve the information on DR. STEVEN J PARK.
| 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.